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NPI Code Detail

MEDICARE: DR. RAYMOND G OVERSTREET M.D.

MEDICARE: DR. RAYMOND G OVERSTREET M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician10923MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447350541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND G OVERSTREET M.D.
Provider Business Mailing Address
First Line : 1032 STATE HWY 50 W
Second Line : P.O. BOX 1188
City : WEST POINT
State : MS
Zip : 39773
Country : US
Telephone Number : 662-524-4347
Fax Number : 662-524-4370
Provider Business Practice Location Address
First Line : 1001 MAIN ST
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-4751
Country : US
Telephone Number : 662-328-9225
Fax Number : 662-328-4735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 10/28/2010

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