Jackson M Ewart is a Surgery in Georgetown, South Carolina. Jackson M Ewart practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jackson M Ewart is 1699955005. The last update date is 2020-08-05.
Jackson M Ewart's current location address is Po Box 1519, Georgetown, South Carolina. You can contact this provider via phone number 8435271331 and fax number 8435271332. The mailing address for Jackson M Ewart is Po Box 1519, Georgetown, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson M Ewart |
|---|---|
| Address | Po Box 1519, Georgetown, South Carolina |
| Phone Number | 8435271331 |
| Fax Number | 8435271332 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699955005 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | Po Box 1519 |
|---|---|
| City | Georgetown |
| State | South Carolina (SC) |
| Post Code | 294421519 |
| Phone Number | 8435271331 |
| Fax Number | 8435271332 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 8834 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7399 | SC | MEDICARE GROUP PTAN | |
| 88345 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson M Ewart by the Centers for Medicare & Medicaid Services?
The Jackson M Ewart has been assigned the NPI (National Provider Identifier) 1699955005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jackson M Ewart's physical address?
The Jackson M Ewart is physically located at Po Box 1519, in the city of Georgetown, SC, with the postal code 294421519.
What is Jackson M Ewart's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson M Ewart is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Jackson M Ewart receive the assignment of its 1699955005 from the Centers for Medicare & Medicaid Services?
The Jackson M Ewart was issued its 1699955005 by the Centers for Medicare & Medicaid Services on 2007-11-14.
When was the Jackson M Ewart's information last updated?
The Jackson M Ewart's information was last updated on 2020-08-05.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN