Individual
BRIDGET A COUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314
(912) 435-6707
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314
(912) 435-6707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003497
GA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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