Individual
ANGIE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18 CALLEY CT, COLUMBIA, SC 29223-5166
(803) 429-7716
Mailing address
10120 TWO NOTCH RD, COLUMBIA, SC 29223-4395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
203333
SC
Other
Enumeration date
10/12/2015
Last updated
03/09/2017
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