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Organization
THOMAS P. BOVINE MD
Active
Organization
THOMAS P. BOVINE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE J NORTON (OFFICE COORDINATOR)
(423) 775-3363
Entity
Organization
Contact information
Practice address
7794 RHEA COUNTY HWY STE 101, DAYTON, TN 37321-5981
(423) 775-3363
(423) 775-3366
Mailing address
7794 RHEA COUNTY HWY STE 101, DAYTON, TN 37321-5981
(423) 775-3363
(423) 775-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14692
TN
363LF0000X
Family Nurse Practitioner
13493
TN
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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