Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036.152201 | IL |
N | 111NI0900X | Internist | 036.152201 | IL |
N | 207R00000X | Internist | 63664 | TN |
N | 111NI0900X | Internist | 63664 | TN |
NPI | 1003347071 |
---|---|
Provider Name | John Bowers |
First Address | Nashville, TN 37232-5100 |
Second Address | Nashville, TN 37232-4494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2017 |
Last Update Date | 21/09/2021 |