Healthcare Provider Details

I. General information

NPI: 1992927305
Provider Name (Legal Business Name): APRIL ATKINS BOSWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 CARMEL RD STE 116
CHARLOTTE NC
28226-3953
US

IV. Provider business mailing address

1306 CONCOURSE DR STE 201
LINTHICUM HEIGHTS MD
21090-1033
US

V. Phone/Fax

Practice location:
  • Phone: 910-251-9944
  • Fax: 910-763-4666
Mailing address:
  • Phone: 813-882-9986
  • Fax: 813-341-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35089542
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number2009-00391
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2009-00391
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: