Provider Demographics
NPI:1922311547
Name:BOWLIN, CHRISTOPHER L (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:BOWLIN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1400 DOWELL SPRINGS BLVD
Mailing Address - Street 2:BUILDING 1400, SUITE 340
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2456
Mailing Address - Country:US
Mailing Address - Phone:865-588-1605
Mailing Address - Fax:865-588-1608
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD
Practice Address - Street 2:BUILDING 1400, SUITE 340
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2456
Practice Address - Country:US
Practice Address - Phone:865-588-1605
Practice Address - Fax:865-588-1608
Is Sole Proprietor?:No
Enumeration Date:2010-07-24
Last Update Date:2016-01-05
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNDPM739213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I482400Medicare PIN