Individual
GRACE WIELICKI COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
50 E HOSPITAL ST STE 6, MANNING, SC 29102-3149
(803) 433-3065
Mailing address
1690 BREWER RD, MANNING, SC 29102-8735
(803) 460-5151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22307
SC
Other
Enumeration date
11/01/2018
Last updated
02/20/2026
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