JACKSON M EWART

GEORGETOWN, SC
NPI1699955005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: SC  8834)
Additional Taxonomies208600000X Surgery
(Licence: SC  8834)
Enumeration Date2007-11-14
Last Update Date2020-08-05
Business Address
JACKSON M EWART MD
903 N FRASER ST # A
GEORGETOWN, SC 29440-2879
Phone number: 843-527-1331
Mailing Address
JACKSON M EWART MD
PO BOX 1519
GEORGETOWN, SC 29442-1519
Phone number: 843-527-1331
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