Search › South Carolina › Student 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