Couch, Mark Edward

Couch, Mark Edward is an individual health care provider with primary practice located at 34 Upper Riverdale Rd Se Suite 100A, Riverdale GA 30274-2635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Couch, Mark Edward can be contacted via phone (770) 907-7222.

Contact Information

Primary practice address
34 Upper Riverdale Rd Se Suite 100A Riverdale GA 30274-2635
Phone: (770) 907-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN124073 Georgia

Profile Details

NPI number 1770641953
LBN Legal business name Couch, Mark Edward
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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