Individual
GAYNOR POWELL COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(678) 905-0410
Mailing address
PO BOX 83232, CONYERS, GA 30013-8017
(678) 905-0410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1285103499
GA
Other
Enumeration date
11/16/2018
Last updated
10/15/2025
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