# BOSWELL FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174718464
- **Authorized official:** DR. SCOTT HULL BOSWELL M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (205) 302-0284

## Contact information

- **Practice address:** 1325 HIGHWAY 195, JASPER, AL 35503-6461
- **Practice address phone:** (205) 302-0284
- **Practice address fax:** (205) 302-0252
- **Mailing address:** 1325 HIGHWAY 195, JASPER, AL 35503-6461
- **Mailing address phone:** (205) 302-0284
- **Mailing address fax:** (205) 302-0252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 16975 | AL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 16975 | AL | — |
| 207QA0505X | Adult Medicine Physician | 16975 | AL | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007
