Individual
MRS. KAREN DENISE MOUZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS,ABO, LDO
Contact information
Practice address
3935 SAVANNAH GROVE RD, EFFINGHAM, SC 29541-6373
(804) 869-1613
Mailing address
3935 SAVANNAH GROVE RD, EFFINGHAM, SC 29541-6373
(804) 869-1613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1101002876
VA
152W00000X
Optometrist
Primary
829
SC
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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