Individual
HERMAN BOYD OVERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
505 GREENVILLE BLVD SE, GREENVILLE, NC 27858-6736
(252) 355-6300
Mailing address
PO BOX 7594, ROCKY MOUNT, NC 27804-0594
(252) 443-0808
(252) 451-9032
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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