Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ORIS GEROME BOWEN
Active Sole ProprietorORIS GEROME BOWEN is a Van Provider healthcare provider located in ANTIOCH, Tennessee. NPI 1114403219 is currently active in the NPPES registry. Verify at CMS.
Van Provider · ANTIOCH, TN
Registration Details
- NPI Number
- 1114403219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2018 (8.0928512892389 yrs)
- Last Updated
- Jul 12, 2018
- License
-
203150 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5709 CEDAR ASH XINGANTIOCH, TN, 370132347Browse TN providers · Browse ZIP 37013
- Phone
- 6156001217
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.