Individual
DR. CODY SMOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 RUTLEDGE AVE, CHARLESTON, SC 29401-1333
(843) 577-2674
Mailing address
894 WYNFORD CT, MOUNT PLEASANT, SC 29464-9785
(724) 689-5073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1704
SC
Other
Enumeration date
06/10/2012
Last updated
01/07/2015
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