Individual
DR. SABRA S. CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP.
Contact information
Practice address
1 MEDICAL PARK, SUITE 420, COLUMBIA, SC 29203
(803) 545-5350
Mailing address
3555 HARDEN ST EXT, 15 MEDICAL PARK STE 300, COLUMBIA, SC 29203-6894
(803) 545-5017
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4273
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1824
—
SC
Enumeration date
02/16/2011
Last updated
10/04/2016
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