Individual
CARL LEE OVERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-0133
(304) 373-1598
Mailing address
PO BOX 587, RIPLEY, WV 25271-0587
(304) 373-0133
(304) 373-0497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17934
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000787284
MOUNTAIN BCBS
WV
05
—
010299772
—
VA
05
—
1801280000
—
WV
01
—
2243174
CIGNA
WV
05
—
2697550
—
OH
01
—
437312
CARELINK
WV
01
—
4539316
AETNA
WV
01
—
57898
UNICARE
WV
01
—
794702
FIRST HEALTH
WV
Enumeration date
04/10/2006
Last updated
01/28/2010
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