Individual
HERMAN BOYD OVERMAN JR.
Active
Individual
HERMAN BOYD OVERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0775G
BCBSNC
NC
01
—
199853
MEDCOST
NC
Enumeration date
11/02/2006
Last updated
12/08/2008
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