Provider Demographics
NPI:1851687180
Name:BOWERS, SASHA LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:LOUISE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:LOUISE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 NOAH DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4048
Mailing Address - Country:US
Mailing Address - Phone:615-364-1249
Mailing Address - Fax:615-595-9775
Practice Address - Street 1:235 NOAH DR STE 300
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4048
Practice Address - Country:US
Practice Address - Phone:615-791-8499
Practice Address - Fax:615-595-9775
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021476Medicaid