| NPI | 1194900282 |
|---|---|
| Doing Business As | GEORGETOWN VASCULAR ASSOCIATE |
| Entity Type | Organization |
| Authorized Contact | JACKSON M EWART Owner 843-527-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 8834) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-08-05 |