Individual
DR. ALISA ROSEANN BOWERSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5651 FRIST BLVD STE 201, HERMITAGE, TN 37076
(615) 391-0800
(615) 391-0431
Mailing address
5651 FRIST BLVD STE 201, HERMITAGE, TN 37076-2056
(615) 391-0800
(615) 391-0431
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2318
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101017318
INTERN
MI
01
—
T030270764
PTAN
TN
Enumeration date
07/02/2007
Last updated
07/10/2023
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