Individual
CLAYTON JUSTUS OVERTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MSPH, FAEEM
Contact information
Practice address
23 CLAUDIA DR, COVINGTON, LA 70435-9513
(985) 893-5767
Mailing address
PO BOX 1770, COVINGTON, LA 70434-1770
(985) 893-5767
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-37095
KS
207P00000X
Emergency Medicine Physician
13765
HI
207P00000X
Emergency Medicine Physician
17549
MS
207P00000X
Emergency Medicine Physician
Primary
24366
LA
207P00000X
Emergency Medicine Physician
35848
TN
207P00000X
Emergency Medicine Physician
37535
SC
207P00000X
Emergency Medicine Physician
60175689
WA
207P00000X
Emergency Medicine Physician
A96078
CA
207P00000X
Emergency Medicine Physician
ME119281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126235
—
MS
01
—
00A960780
MEDI-CAL
CA
05
—
3870437
—
TN
Enumeration date
05/28/2006
Last updated
05/13/2024
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