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Search › South Carolina › 363AS0400X

Ethan Smallwood, PA

NPI 1831899459 · on the registry since 2023

Practice

Address
222 E Medical Ln Ste 101
West Columbia, SC 29169
Phone
(803) 739-3660
Organisation at this address
Lexington Health Inc
Lexington Health Inc
Lexington Health Inc
Lexington Health Inc
Lexington Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
390200000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-16

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