Provider Demographics
NPI:1831891142
Name:BOWERS, ALEXANDER FREEMAN (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:FREEMAN
Last Name:BOWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 SANGA CIR E
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7640
Mailing Address - Country:US
Mailing Address - Phone:731-613-3824
Mailing Address - Fax:
Practice Address - Street 1:554 SANGA CIR E
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7640
Practice Address - Country:US
Practice Address - Phone:731-613-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program