| Doctor Name: | DR. HOWARD THOMAS CUSICK |
| NPI Number: | 1912007881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101240471 |
| Business Practice Address: | 1314 19th Ave Meridian, MS - 393014116 |
| Business Phone Number: | 6014830011 |
| Business Fax Number: | |
| Mailing Address: | 7714 Lakeview Dr, MERIDIAN |
| State: | MS |
| Postal Code: | 393059455 |
| Phone Number: | 7246740497 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101240471 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |