Individual
DR. CHAD T. COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 105, BRISTOL, TN 37620-0213
(423) 844-6600
(423) 968-1255
Mailing address
350 BLOUNTVILLE HWY, SUITE 105, BRISTOL, TN 37620-0213
(423) 844-6600
(423) 968-1255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
034328
TN
208800000X
Urology Physician
Primary
34328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007503849
—
VA
01
—
0213340004
DMERC
—
01
—
3150974
BLUECROSS BLUESHIELD
TN
01
—
340017986
RR MEDICARE
—
01
—
381841
ANTHEM
VA
05
—
3854657
—
TN
01
—
62086999805
JOHN DEERE
—
Enumeration date
05/19/2006
Last updated
06/16/2010
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