Organization · Type 2 NPI
Boswell Family Medicine
Adult Medicine Physician · Jasper, AL
NPI number
1174718464
Active
Practice location
1325 Highway 195
Jasper, AL 35503-6461
Fax (205) 302-0252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 16975 (AL) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 16975 (AL) |
| Adult Medicine Physician Primary | 207QA0505X | 16975 (AL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1174718464
Boswell Family Medicine's National Provider Identifier is 1174718464, issued on Sep 10, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Jasper, AL. The record was last updated on Sep 10, 2007.