Individual
THOMAS P. BOVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7794 RHEA COUNTY HWY, SUITE 101, DAYTON, TN 37321-5981
(423) 775-3363
(423) 775-3366
Mailing address
7794 RHEA COUNTY HWY, SUITE 101, DAYTON, TN 37321-5981
(423) 775-3363
(423) 775-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14692
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3199194
—
TN
Enumeration date
12/29/2006
Last updated
01/03/2014
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