Individual
DR. GRACE MARIE COUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 LAKE DRIVE, SUITE 301, RALEIGH, NC 27607
(919) 782-6911
(919) 861-6400
Mailing address
2601 LAKE DRIVE, SUITE 301, RALEIGH, NC 27607
(919) 782-6911
(919) 861-6400
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
31795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10916230
CAQH NUMBER
NC
Enumeration date
10/17/2006
Last updated
07/08/2007
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