Individual
DR. SCOTT HULL BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2905 LONG RIDGE DR, JASPER, AL 35504-9156
(205) 275-9075
Mailing address
2905 LONG RIDGE DR, JASPER, AL 35504-9156
(205) 275-9075
(205) 302-0252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16975
AL
208D00000X
General Practice Physician
Primary
16975
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029911
—
AL
01
—
51029911
BLUE CROSS NUMBER
AL
Enumeration date
07/19/2005
Last updated
11/25/2019
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