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John Vernon Custer, MD
Specialist in Charleston, South Carolina
NPI 1578679452

John Vernon Custer is a Specialist based in Charleston, SC. John Vernon Custer practices in Charleston, SC and has the professional credentials of MD. The NPI Number for John Vernon Custer is 1578679452 and holds a License No. 15084 (South Carolina).

The current practice location address for John Vernon Custer is 1 Poston Rd, Charleston, SC and can be reached out via phone at 843-556-4157 and via fax at 843-763-8747.

Location: 1 Poston Rd, Charleston, SC, 29407-3424
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Provider Profile Details
NPI Number
1578679452
Provider Name
John Vernon Custer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Poston Rd, Charleston, SC, 29407-3424
Phone Number
843-556-4157
Fax Number
843-763-8747
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150847 05 SC
institution
Provider Business Practice Location Address Details
Address
1 Poston Rd
City
State
Zip
29407-3424
Phone Number
843-556-4157
Fax Number
843-763-8747
person
Provider Business Mailing Address Details
Address
1 Poston Rd
City
State
Zip
29407-3424
Phone Number
843-556-4157
Fax Number
843-763-8747
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
15084 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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