Provider Demographics
NPI:1285407049
Name:BOSWELL, SARAH (CPM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 HILL CITY RD NW
Mailing Address - Street 2:
Mailing Address - City:SUGAR VALLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30746-5245
Mailing Address - Country:US
Mailing Address - Phone:706-263-6326
Mailing Address - Fax:
Practice Address - Street 1:939 HILL CITY RD NW
Practice Address - Street 2:
Practice Address - City:SUGAR VALLEY
Practice Address - State:GA
Practice Address - Zip Code:30746-5245
Practice Address - Country:US
Practice Address - Phone:706-263-6326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPM23110352175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay