IndividualActive
Jackson Ewart, MD
NPI 1699955005 · Vascular Surgery Physician · Georgetown, SC
Provider details
- NPI number
- 1699955005
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8834 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
903 N Fraser St # a
Georgetown, SC 29440-2879
Phone: (843) 527-1331
Fax: (843) 527-1332
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1519
Georgetown, SC 29442-1519
Additional practice locations (1)
- 3000 Saint Matthews RdOrangeburg, SC 29118-1442Phone: (803) 395-2200
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.