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1013291269
MATTHEW K EWALD
CHARLESTON, SC
NPI
1013291269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1721)
Enumeration Date
2011-10-06
Last Update Date
2011-11-08
Business Address
-- MATTHEW K EWALD PA
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-1414
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Mailing Address
-- MATTHEW K EWALD PA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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