| Doctor Name: | DR. JAMES WILLIAM CUSTIS |
| NPI Number: | 1588688873 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25110 |
| Business Practice Address: | 9772 Parkway E Birmingham, AL - 352157804 |
| Business Phone Number: | 2058336888 |
| Business Fax Number: | |
| Mailing Address: | 9772 Parkway E, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352157804 |
| Phone Number: | 2058336888 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 04/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25110 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |