Oris Gerome Bowen

NPI #1114403219 in Antioch, Tennessee

Provider Information

NPI Number: 1114403219
Entity Type: Individual
Name: Oris Gerome Bowen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Taxi
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 5709 CEDAR ASH XING
City: Antioch
State: Tennessee
ZIP Code: 37013-2347
Phone: (615) 600-1217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Taxi	344600000X	Primary

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