Organization
VINCENT E. BOSWELL MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT EVERETT BOSWELL M.D. (OWNER/PHYSICIAN)
(404) 588-1272
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE STE 115, ATLANTA, GA 30312-4207
(404) 588-1272
(404) 588-1275
Mailing address
1776 PEACHTREE ST NW, SUITE 318N, ATLANTA, GA 30309-2307
(404) 588-1272
(404) 588-1275
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
035820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
884300
GA
Enumeration date
08/30/2006
Last updated
08/05/2014
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