Organization · NPI-2

Boswell Family Medicine

Family Medicine, Adult Medicine · Jasper, AL

NPI number1174718464
StatusActive
Last updated in NPPESSep 10, 2007

Details

NPI
1174718464
Entity type
Organization (NPI-2)
Legal business name
Boswell Family Medicine
Organization subpart
No
Enumeration date
Sep 10, 2007
Last updated
Sep 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine16975ALYes
207QA0000X Family Medicine, Adolescent Medicine16975AL
207QA0401X Family Medicine, Addiction Medicine16975AL

Practice location

1325 Highway 195
Jasper, AL 35503-6461

Phone 205-302-0284 · Fax 205-302-0252

Mailing address

1325 Highway 195
Jasper, AL 35503-6461

Phone 205-302-0284 · Fax 205-302-0252

Authorized official

Scott Hull Boswell
President/Owner
2053020284

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine, Adult Medicine providers in Jasper, AL