NPI Code Details Logo

NPI 1700816501

NPI 1700816501 : MELISSA CHRISTINE OVERMAN DO, MPH, CHES : PICKENS, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700816501
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MELISSA CHRISTINE OVERMAN DO, MPH, CHES
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/04/2006
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4606 MOOREFIELD MEMORIAL HWY 
-----------------------------------------------------
    City                 |    PICKENS
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29671-9065
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-546-5505
-----------------------------------------------------
    Fax                  |    864-474-4005
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1027 S PENDLETON ST STE B322 
-----------------------------------------------------
    City                 |    EASLEY
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29642-1046
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-546-5505
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    2023-01331
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    TL1296
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    OS 9671
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.