Individual
DR. TIA GUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
775 POPLAR RD, SUITE 120, NEWNAN, GA 30265-8300
(770) 400-4510
(678) 423-2737
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
072881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I163208
MEDICARE PTAN
GA
Enumeration date
06/30/2008
Last updated
03/07/2023
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