Individual
DR. MARK OVERBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 8TH ST, BRISTOL, TN 37620-2386
(423) 844-6860
(423) 844-0613
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078261
—
TN
Enumeration date
07/24/2006
Last updated
03/10/2008
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