John Vernon Custer in Charleston - Specialist
John Vernon Custer - NPI 1578679452
John Vernon Custer is a Specialist in Charleston, South Carolina. John Vernon Custer practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Vernon Custer is 1578679452. The last update date is 2007-07-08.
John Vernon Custer's current location address is 1 Poston Rd, Charleston, South Carolina. You can contact this provider via phone number 8435564157 and fax number 8437638747. The mailing address for John Vernon Custer is 1 Poston Rd, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Vernon Custer |
|---|---|
| Address | 1 Poston Rd, Charleston, South Carolina |
| Phone Number | 8435564157 |
| Fax Number | 8437638747 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578679452 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Poston Rd |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294073424 |
| Phone Number | 8435564157 |
| Fax Number | 8437638747 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 15084 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150847 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Vernon Custer by the Centers for Medicare & Medicaid Services?
The John Vernon Custer has been assigned the NPI (National Provider Identifier) 1578679452 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Vernon Custer is physically located?
The John Vernon Custer is situated at the following address: 1 Poston Rd, Charleston, SC 294073424.
What is John Vernon Custer's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Vernon Custer's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did John Vernon Custer receive its 1578679452 assignment?
The John Vernon Custer was assigned its 1578679452 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the information related to John Vernon Custer most recently updated or refreshed?
The details pertaining to the John Vernon Custer, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC