Organization
PREMIER SPINE PAIN & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANTHONY OVERTON DO (PHYSICIAN)
(704) 817-6676
Entity
Organization
Contact information
Practice address
2315 W ARBORS DR STE 115, CHARLOTTE, NC 28262-2639
(704) 817-6676
(704) 817-6678
Mailing address
PO BOX 480328, CHARLOTTE, NC 28269-5338
(215) 669-9668
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
200400934
NC
Other
Enumeration date
02/07/2010
Last updated
06/23/2021
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