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Individual

ZACHARY GAGE BOSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-5601
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
T-5601
MS

Other

Enumeration date
03/26/2025
Last updated
07/01/2025
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