Most Relevant Information
Provider Data
NPI Number: | 1003291089 |
Provider Name: | KELLY CHRISTINE TRUSSELL O.D. |
Entity Type: | Individual |
Taxonomy Code: | 152W00000X |
Specialty: | Optometrist |
License Number: | 18003922A |
Most Important Dates
Enumeration Date: | 07/20/2015 |
Last Updated: | 02/07/2022 |
Provider Practice Location
119 LIBRARY HILL LN
LEXINGTON
SC
290723893
Practice Location Phone/Fax
Phone: | 8033592110 |
Fax: |
Provider Mailing Location
1619 CATAWBA STREET
COLUMBIA
SC
29205
Provider Mailing Phone/Fax
Phone: | 3177536443 |
Fax: |