Individual
DR. CHAD T. COUCH
Active
Individual
DR. CHAD T. COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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