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Individual

FRANK J OVERDYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9263 MEDICAL PLAZA DR, SUITE E, CHARLESTON, SC 29406-7109
(843) 576-6168
Mailing address
9263 MEDICAL PLAZA DR, SUITE E, CHARLESTON, SC 29406-7109
(843) 576-6168

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17144
SC
207L00000X
Anesthesiology Physician
264677
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171441
SC
Enumeration date
08/29/2006
Last updated
05/22/2015
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