Individual provider · Type 1 NPI

Mikel J. Christen Overgaard, PA-C

Surgical Physician Assistant · Augusta, GA

NPI number 1366046021 Active

Practice location

1120 15th St
Augusta, GA 30912-9511

Call (706) 721-8623 Map

Mailing address

1120 15th St Ste BI-1056
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1366046021

Mikel J. Christen Overgaard, PA-C's National Provider Identifier is 1366046021, issued on Nov 24, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Dec 17, 2020.