# THOMAS P. BOVINE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215330592
- **Authorized official:** CARRIE J NORTON (OFFICE COORDINATOR)
- **Authorized official phone:** (423) 775-3363

## Contact information

- **Practice address:** 7794 RHEA COUNTY HWY STE 101, DAYTON, TN 37321-5981
- **Practice address phone:** (423) 775-3363
- **Practice address fax:** (423) 775-3366
- **Mailing address:** 7794 RHEA COUNTY HWY STE 101, DAYTON, TN 37321-5981
- **Mailing address phone:** (423) 775-3363
- **Mailing address fax:** (423) 775-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14692 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | 13493 | TN | — |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 10/01/2014