Organization
BOSWELL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT HULL BOSWELL M.D. (PRESIDENT/OWNER)
(205) 302-0284
Entity
Organization
Contact information
Practice address
1325 HIGHWAY 195, JASPER, AL 35503-6461
(205) 302-0284
(205) 302-0252
Mailing address
1325 HIGHWAY 195, JASPER, AL 35503-6461
(205) 302-0284
(205) 302-0252
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
16975
AL
207QA0401X
Addiction Medicine (Family Medicine) Physician
16975
AL
207QA0505X
Adult Medicine Physician
Primary
16975
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51029911
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
09/10/2007
Last updated
09/10/2007
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