| Doctor Name: | M. EUGENIA COUCHOUD-WILKINSON |
| NPI Number: | 1316201015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D.N, L.D. |
| License Number: | LD003876 |
| Business Practice Address: | 11340 Lakefield Dr Suite 200 Johns Creek, GA - 300971714 |
| Business Phone Number: | 6784072159 |
| Business Fax Number: | 6782888234 |
| Mailing Address: | 263 Heron Lake Ct, LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300436850 |
| Phone Number: | 6785751966 |
| Fax Number: | 6782888234 |
| NPI Enumeration Date: | 06/27/2012 |
| NPI Last Update Date: | 07/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD003876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |