SearchSouth CarolinaStudent in an Organized Health Care Education/Training Program

Ethan Revels

NPI 1578486155 · on the registry since 2026

Practice

Address
15102 Sweet Pl
Charleston, SC 29492
Phone
(704) 689-3747

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Physician Assistant
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina