Individual
JAMIE COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
216 HOSPITAL DR, CORDELE, GA 31015-3275
(229) 276-2000
Mailing address
PO BOX 5007, CORDELE, GA 31010-5007
(229) 276-3100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN220361
GA
Other
Enumeration date
07/13/2019
Last updated
02/04/2021
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