Individual
JOSEPH T OVERTON JR.
Active
Individual
JOSEPH T OVERTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
038900
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00762308D
—
GA
01
—
0300335
EVERCARE PROVIDER #
GA
01
—
1024502
AETNA HMO PROVIDER #
GA
01
—
4697
KAISER
GA
01
—
5261485
AETNA PPO PROVIDER #
GA
01
—
77159135
WAUSAU PROVIDER #
GA
01
—
953055
BC/BS PROVIDER #
GA
01
—
GA0100
JOHN DEER NONPAR PROV #
GA
Enumeration date
08/30/2006
Last updated
08/30/2010
Update your record
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