Individual
KENAN ELENA OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY ROAD NE, ATLANTA, GA 30342
(404) 851-8000
Mailing address
213 BOGUE DR, MOREHEAD CITY, NC 28557-9630
(919) 538-5274
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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