| Organization Name: | OVERHOME MEDICAL CARE PC |
| NPI Number: | 1396182986 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL C JONES (PRESIDENT) |
| Mailing Address: | 919 Medical Park Dr Mountain City |
| State: | TN US |
| Postal Code: | 376831042 |
| Phone Number: | 4237277800 |
| Fax Number: | 4237272496 |
| NPI Enumeration Date: | 05/23/2013 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |