Provider Demographics
NPI:1326401886
Name:COUCH, SARAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COUCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1365 CLIFTON RD NE BLDG C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-3307
Mailing Address - Fax:404-778-4255
Practice Address - Street 1:3950 KRESGE WAY STE 303
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4637
Practice Address - Country:US
Practice Address - Phone:502-896-7660
Practice Address - Fax:502-896-7661
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-06-30
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Provider Licenses
StateLicense IDTaxonomies
GA91266208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery