JOHN R CUSACK

CHARLESTON, SC
NPI1871601724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC  202)
Enumeration Date2006-08-29
Last Update Date2011-09-19
Business Address
-- JOHN R CUSACK DO
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
-- JOHN R CUSACK DO
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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