Individual
DR. EDWARD ANTHONY OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2315 W ARBORS DR STE 115, CHARLOTTE, NC 28262-2639
(704) 817-6676
Mailing address
PO BOX 480328, CHARLOTTE, NC 28269-5338
(215) 669-9668
(704) 864-3300
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
1146
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
200400934
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
53011
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS-010979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335844000
IBC
PA
01
—
3686882
AETNA
PA
05
—
5908315
—
NC
01
—
6738998
CIGNA
—
05
—
NC1316
—
SC
Enumeration date
06/02/2006
Last updated
06/23/2021
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