Individual provider · Type 1 NPI

Amy Christine Custer, MD, DDS

Student in an Organized Health Care Education/Training Program · Knoxville, TN

NPI number 1508618109 Active

Practice location

1924 Alcoa Hwy # U-63
Knoxville, TN 37920-1511

Fax (865) 305-4501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508618109

Amy Christine Custer, MD, DDS's National Provider Identifier is 1508618109, issued on Apr 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Knoxville, TN. The record was last updated on Apr 5, 2024.