Smallwood, Ethan

Smallwood, Ethan is an individual health care provider with primary practice located at 222 E Medical Ln Ste 101 , West Columbia SC 29169-4850. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Smallwood, Ethan can be contacted via phone (803) 739-3660.

Contact Information

Primary practice address
222 E Medical Ln Ste 101 West Columbia SC 29169-4850
Phone: (803) 739-3660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4903 South Dakota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1831899459
LBN Legal business name Smallwood, Ethan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2023
Last updated Jan 16th, 2024 - about 2 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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