NPI 1013291269

Matthew K Ewald, PA

Practitioner Physician Assistant Charleston, SC

Practice location

Address: 171 Ashley Ave, Charleston, SC 29425-0100
Phone: (843) 792-1414
Mailing address: PO Box 751461, Charlotte, NC 28275-1461

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1721 (SC)

Other Physician Assistant providers in South Carolina →

Registry record

NPI: 1013291269
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2011
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.