Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | OS0005862 | FL |
Y | 207X00000X | Orthopaedic Surgeon | 2014-01944 | NC |
N | 207X00000X | Orthopaedic Surgeon | OS5862 | FL |
NPI | 1902983711 |
---|---|
Provider Name | Dr. Richard Crane Couch |
First Address | Washington, NC 27889-3405 |
Second Address | Washington, NC 27889-3405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 12/01/2022 |