Individual
AMANDA OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8909
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1412
SC
207R00000X
Internal Medicine Physician
LL1412
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
1412
SC
Other
Enumeration date
06/28/2010
Last updated
03/02/2022
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