John V. Custer, M.D., L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15084 Issued in SC

Legal business name

JOHN V. CUSTER, M.D., L.L.C.

Practice address

1 Poston Rd
Suite 145
Charleston, SC 29407-3424

Phone

(843) 556-4157

Fax

(843) 763-8747

NPI assigned

May 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Vernon Custer, M.D.

Title

Partner

Phone

(843) 556-4157

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114128220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V. CUSTER, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-556-4157",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "15084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.