Individual
SHARONDA COUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 W MAIN ST STE 102, CENTRE, AL 35960
(256) 677-4552
Mailing address
1500 1ST AVE UNIT 3, BIRMINGHAM, AL 35203-1866
(256) 677-4552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-116212
AL
363LF0000X
Family Nurse Practitioner
GAA-NP001984
GA
Other
Enumeration date
09/05/2017
Last updated
02/15/2024
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