Individual
JOHN COVINGTON BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 BAPTIST BLVD STE 402, COLUMBUS, MS 39705-2006
(662) 244-2550
Mailing address
965 RIDGE LAKE BLVD BLDG STE 103, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22843
MS
207R00000X
Internal Medicine Physician
25562
AL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
22843
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09089710
—
MS
Enumeration date
05/22/2006
Last updated
01/27/2020
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