Individual provider · Type 1 NPI

Ethan Lam

Physician Assistant · Columbia, SC

NPI number 1295599801 Active

Practice location

114 Gateway Corporate Blvd Ste 210
Columbia, SC 29203-9785

Mailing address

5 Mountain Rose Ct
Simpsonville, SC 29681-4869

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295599801

Ethan Lam's National Provider Identifier is 1295599801, issued on Feb 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, SC. The record was last updated on Dec 15, 2025.