Individual
DOLPHIN H OVERTON III III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2806B WOOTEN BLVD SW, WILSON, NC 27893-8624
(252) 360-4374
(252) 360-4391
Mailing address
388 VENTURE DR, STE I, SMITHFIELD, NC 27577-4775
(919) 938-0811
(919) 938-0816
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1521310
CIGNA
NC
01
—
2331698
GROUP ORGANIZATION PTAN
NC
01
—
47292
MEDCOST
NC
01
—
64393
BLUE CROSS BLUE SHIELD
NC
01
—
7177348
AETNA
NC
05
—
8964393
—
NC
Enumeration date
05/11/2006
Last updated
10/19/2016
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