Lookup NPI Numbers from the NPI Registry
NPI Profile for ETHAN SMALLWOOD in WEST COLUMBIA, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1831899459 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 03/03/2023 | |
| Last updated | 01/16/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ETHAN SMALLWOOD
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ETHAN SMALLWOOD, PA