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1770641953
MARK EDWARD COUCH
RIVERDALE, GA
NPI
1770641953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN124073)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. MARK EDWARD COUCH FNP-C
34 UPPER RIVERDALE RD SE SUITE 100A
RIVERDALE, GA 30274-2635
Phone number: 770-907-7222
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Mailing Address
Mr. MARK EDWARD COUCH FNP-C
34 UPPER RIVERDALE RD SE SUITE 100A
RIVERDALE, GA 30274-2635
Phone number: 770-907-7222
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