Provider Demographics
NPI:1629803275
Name:BOWLES, JOSEPH PEYTON (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PEYTON
Last Name:BOWLES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 ABERDEEN PARKE DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5149
Mailing Address - Country:US
Mailing Address - Phone:615-339-8312
Mailing Address - Fax:
Practice Address - Street 1:729 ABERDEEN PARKE DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5149
Practice Address - Country:US
Practice Address - Phone:615-339-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor