Individual
MARK WILSON BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3204
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1581
SC
Other
Enumeration date
06/27/2006
Last updated
07/06/2016
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