Individual provider · Type 1 NPI
Jackson M. Ewart, MD
Vascular Surgery Physician · Georgetown, SC
NPI number
1699955005
Active
Practice location
903 N Fraser St # A
Georgetown, SC 29440-2879
Fax (843) 527-1332
Mailing address
PO Box 1519
Georgetown, SC 29442-1519
Other practice locations
- 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 · (803) 395-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 8834 (SC) |
| Vascular Surgery Physician Primary | 2086S0129X | 8834 (SC) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in Georgetown
About NPI 1699955005
Jackson M. Ewart, MD's National Provider Identifier is 1699955005, issued on Nov 14, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Georgetown, SC. The record was last updated on Aug 5, 2020.