Individual
JOHN VERNON CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 POSTON RD, SUITE 145, CHARLESTON, SC 29407-3424
(843) 556-4157
(843) 763-8747
Mailing address
1 POSTON RD, SUITE 145, CHARLESTON, SC 29407-3424
(843) 556-4157
(843) 763-8747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150847
—
SC
Enumeration date
08/22/2006
Last updated
07/08/2007
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