Bryson Custer
Chiropractor Chiropractic Sports Physician
325 Eisenhower Dr Ste A
Savannah
, Georgia 31406-2697
Bryson Custer
Chiropractor Chiropractic Sports Physician
325 Eisenhower Dr Ste A
Savannah
, Georgia 31406-2697
(814) 442-7588
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About
Features
Specialties
- Chiropractor
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Bryson Custer
- 2001 Bridgewater Dr # 20-01
- Savannah, GA
- Zip : 31419-5535
- Phone : (814) 442-7588
Second Address
- Bryson Custer
- 325 Eisenhower Dr Ste A
- Savannah, GA
- Zip : 31406-2697
- Phone : (912) 224-0080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR010683 | GA |
| N | 111NS0005X | Chiropractic Sports Physician | CHIR010683 | GA |
National Provider Identifier
| NPI | 1023769593 |
|---|---|
| Provider Name | Bryson Custer |
| First Address | Savannah, GA 31419-5535 |
| Second Address | Savannah, GA 31406-2697 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2022 |
| Last Update Date | 20/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.