MEDICARE: MR. ROBERT E. BOWERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD00000033412	TN
2	207Y00000X	Otolaryngology Physician	TN33412	TN

General Provider Information

NPI Number	:	1841299682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT E. BOWERS M.D.

Provider Business Mailing Address
First Line	:	5705 MARLIN ROAD
Second Line	:	SUITE 1400
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411
Country	:	US
Telephone Number	:	423-855-8220
Fax Number	:	423-855-8230

Provider Business Practice Location Address
First Line	:	5705 MARLIN ROAD
Second Line	:	SUITE 1400
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411
Country	:	US
Telephone Number	:	423-855-8220
Fax Number	:	423-855-8230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	01/28/2014

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