MEDICARE: SPRING VIEW PHYSICIAN PRACTICES LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1699724229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING VIEW PHYSICIAN PRACTICES LLC

Provider Business Mailing Address
First Line	:	320 LORETTO RD
Second Line	:
City	:	LEBANON
State	:	KY
Zip	:	40033-1300
Country	:	US
Telephone Number	:	270-692-3161
Fax Number	:	270-692-5155

Provider Business Practice Location Address
First Line	:	320 LORETTO RD
Second Line	:
City	:	LEBANON
State	:	KY
Zip	:	40033-1300
Country	:	US
Telephone Number	:	270-692-3161
Fax Number	:	270-692-5155

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MONICA BOWMAN SR.
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/23/2023

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