# WILLIAM CARSON BOSWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174567309
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 035380 | GA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 01/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000744994B | — | GA |
| 01 | — | 020047820 | RR MEDICARE | GA |
| 01 | — | 10063463 | AMERIGROUP | GA |
| 01 | — | 349721 | WELLCARE | GA |
| 05 | — | G35380 | — | SC |