Individual
SCOTT G BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-3593
(678) 391-4373
Mailing address
5039 WEATHERSTONE DR, BUFORD, GA 30519-1987
(714) 404-6330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004705
GA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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