Individual
CHARLOTTE LARISSA COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6584 POPLAR AVE STE 212, MEMPHIS, TN 38138-3687
(662) 883-4198
(662) 883-4198
Mailing address
6584 POPLAR AVE STE 212, MEMPHIS, TN 38138-3687
(662) 883-4198
(662) 883-4198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5482
TN
Other
Enumeration date
08/24/2023
Last updated
02/07/2026
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