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Individual
MATTHEW CODY BOWERS
Active
Individual
MATTHEW CODY BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008845
KY
363LF0000X
Family Nurse Practitioner
F0910217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12229111
CAQH
TN
05
—
1523291
—
TN
Enumeration date
04/01/2011
Last updated
03/21/2022
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