Individual
MS. ALEXIS NICOLE BOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604-6171
(423) 439-7201
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
73261
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
08/04/2025
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