Individual
MR. MACON OVERTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7946
Mailing address
137 DANIKA DR NW, HUNTSVILLE, AL 35806-4119
(601) 540-8782
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1-171815
AL
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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