Individual
MR. GEORGE ANDERSON OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1125 N ROAD ST, ELIZABETH CITY, NC 27909-3334
(252) 331-7922
(252) 331-2111
Mailing address
1125 N ROAD ST, ELIZABETH CITY, NC 27909-3334
(252) 331-7922
(252) 331-2111
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801974
—
NC
Enumeration date
01/22/2007
Last updated
07/08/2007
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