| NPI | 1770815300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANTHONY OVERTON Physician 704-817-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NC 200400934) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2021-06-23 |