Individual
STEPHAN D OVERCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469
Mailing address
145 MARY CIR, CONCORD, NC 28025-9282
(704) 782-3307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701423
—
NC
05
—
7795089
—
NC
Enumeration date
04/04/2007
Last updated
07/09/2007
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