Individual
MICHAEL S OVERFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5073 MAIN ST STE 100, SPRING HILL, TN 37174-2738
(615) 302-0885
(615) 891-5003
Mailing address
1195 OLD HICKORY BLVD STE 101, BRENTWOOD, TN 37027-4239
(615) 818-9888
(615) 891-5021
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PA151
TN
363AM0700X
Medical Physician Assistant
Primary
PA0000151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008173
—
TN
01
—
T06853A
MEDICARE
TN
Enumeration date
01/02/2007
Last updated
08/20/2019
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