Provider Demographics
NPI:1386864338
Name:BOWMAN, RACHEL D (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1131 4TH AVE S STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:865-769-5194
Practice Address - Street 1:7210 OAK RIDGE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-2613
Practice Address - Country:US
Practice Address - Phone:865-647-5500
Practice Address - Fax:865-769-5194
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN44901207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514007Medicaid