Individual
WILLIAM CARSON BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 307, SAVANNAH, GA 31404-6200
(912) 350-7914
(912) 350-7973
Mailing address
4750 WATERS AVE STE 307, SAVANNAH, GA 31404-6268
(912) 350-7914
(912) 350-7973
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
035380
GA
Other
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
Enumeration date
06/16/2006
Last updated
01/04/2022
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