Individual provider · Type 1 NPI

Ethan Smallwood, PA

Surgical Physician Assistant · West Columbia, SC

NPI number 1831899459 Active

Practice location

222 E Medical Ln Ste 101
West Columbia, SC 29169-4850

Call (803) 739-3660 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4903 (SD)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1831899459

Ethan Smallwood, PA's National Provider Identifier is 1831899459, issued on Mar 3, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Columbia, SC. The record was last updated on Jan 16, 2024.