Individual
COURTNEY EMMETT GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4959
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
4016
SC
367A00000X
Advanced Practice Midwife
Primary
RN205597
GA
Other
Enumeration date
10/18/2009
Last updated
04/01/2011
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