# PREMIER SPINE PAIN & REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770815300
- **Authorized official:** DR. EDWARD ANTHONY OVERTON DO (PHYSICIAN)
- **Authorized official phone:** (704) 817-6676

## Contact information

- **Practice address:** 2315 W ARBORS DR STE 115, CHARLOTTE, NC 28262-2639
- **Practice address phone:** (704) 817-6676
- **Practice address fax:** (704) 817-6678
- **Mailing address:** PO BOX 480328, CHARLOTTE, NC 28269-5338
- **Mailing address phone:** (215) 669-9668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 200400934 | NC | Yes |

## Other

- **Enumeration date:** 02/07/2010
- **Last updated:** 06/23/2021