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NPI Code Detail

MEDICARE: DR. SEANIA OVERTON DC

MEDICARE: DR. SEANIA OVERTON DC
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
1111N00000XChiropractor5686NC

General Provider Information

NPI Number : 1861264111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEANIA OVERTON DC
Provider Business Mailing Address
First Line : 432 LINSBURY CT
Second Line :
City : GASTONIA
State : NC
Zip : 28056-7416
Country : US
Telephone Number : 404-964-9839
Fax Number :
Provider Business Practice Location Address
First Line : 10220 COULOAK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-7678
Country : US
Telephone Number : 704-392-9999
Fax Number : 704-392-9913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2023
Last Update Date : 09/26/2024

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Directions to “ DR. SEANIA OVERTON DC” Practice Location

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