National Provider Identifier Database

JACKSON M EWART, MD – NPI #1699955005
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

JACKSON M EWART, MD
903 N FRASER ST # A
GEORGETOWN, SC29440-2879
Phone: 843-527-1331
Fax: 843-527-1332
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for JACKSON M EWART

NPI Number 1699955005
Credentials MD
Entity Individual
Enumeration date 11/14/2007
Last updated 08/05/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: 8834
  • SC Medicaid: 088345
  • SC Other: 7399 MEDICARE GROUP PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACKSON M EWART, MD

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