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Mr. Mark Edward Couch, FNP-C
Family Nurse Practitioner in Riverdale, Georgia
NPI 1770641953

Mark Edward Couch is a Family Nurse Practitioner based in Riverdale, GA and is specialized in Family. Mark Edward Couch practices in Riverdale, GA and has the professional credentials of FNP-C. The NPI Number for Mark Edward Couch is 1770641953 and holds a License No. RN124073 (Georgia).

The current practice location address for Mark Edward Couch is 34 Upper Riverdale Rd Se, Riverdale, GA and can be reached out via phone at 770-907-7222.

Location: 34 Upper Riverdale Rd Se, Riverdale, GA, 30274-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770641953
Provider Name
Mark Edward Couch
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
34 Upper Riverdale Rd Se, Riverdale, GA, 30274-2635
Phone Number
770-907-7222
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
34 Upper Riverdale Rd Se
City
Riverdale
State
Georgia
Zip
30274-2635
Phone Number
770-907-7222
Fax Number
person
Provider Business Mailing Address Details
Address
34 Upper Riverdale Rd Se
City
Riverdale
State
Georgia
Zip
30274-2635
Phone Number
770-907-7222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN124073 (Georgia)
Definition
Definition to come...
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