Individual
DR. ANTONIO CUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8926642
—
NC
Enumeration date
10/17/2005
Last updated
04/25/2019
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