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Individual

DR. JAMES WILLIAM CUSTIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3911 10TH AVE S, BIRMINGHAM, AL 35222-4207
(205) 999-6456
Mailing address
PO BOX 130111, BIRMINGHAM, AL 35213-0111
(205) 999-6456

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00025110
AL
207Q00000X
Family Medicine Physician
25110
AL
208D00000X
General Practice Physician
25110
AL

Other

Enumeration date
07/27/2006
Last updated
06/25/2020
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