Individual
MR. CONNOR RANDALL OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 384-2211
Mailing address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 751-2201
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-153880
AL
Other
Enumeration date
02/02/2023
Last updated
08/28/2024
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