Individual
NICHOLAS COOPER OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 424-2355
Mailing address
PO BOX 9149, MORGANTOWN, WV 26506-9149
(304) 293-2436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32518
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2020
Last updated
06/02/2023
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