WILLIAM CARSON BOSWELL MD NPI 1174567309

NPI Information

NPI: 1174567309
Provider Name: WILLIAM CARSON BOSWELL, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
4750 WATERS AVE
SUITE 307
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7914
Get Directions

William Carson Boswell, MD is a pediatric surgery surgery in Savannah, GA with 34 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. William Carson Boswell, MD NPI is 1174567309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

4750 WATERS AVE
SUITE 307
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-7914
Fax: (912) 350-7973

The NPI 1174567309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	035380	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000744994B	MEDICAID	GEORGIA
2	10063463	OTHER	GEORGIA	AMERIGROUP
3	349721	OTHER	GEORGIA	WELLCARE
4	020047820	OTHER	GEORGIA	RR MEDICARE
5	G35380	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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