Ewart, Jackson M

Ewart, Jackson M is an sole proprietor health care provider with primary practice located at 903 N Fraser St # A , Georgetown SC 29440-2879. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Ewart, Jackson M can be contacted via phone (843) 527-1331.

Contact Information

Primary practice address
903 N Fraser St # A Georgetown SC 29440-2879
Phone: (843) 527-1331
Fax: (843) 527-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8834 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 8834 South Carolina

Profile Details

NPI number 1699955005
LBN Legal business name Ewart, Jackson M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2007
Last updated Aug 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699955005 NPPES
South Carolina Other 7399 MEDICARE GROUP PTAN
South Carolina MEDICAID 088345 MEDICARE GROUP PTAN

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