Organization
MCCREA EWART MD PA
Active
Other names
Low Country Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON MCCREA EWART MD (PRESIDENT)
(843) 527-1331
Entity
Organization
Contact information
Practice address
903 A N FRASER, GEORGETOWN, SC 29440-2803
(843) 527-1331
(843) 527-1332
Mailing address
PO BOX 1519, GEORGETOWN, SC 29442-1519
(843) 527-1331
(843) 527-1332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA9491
—
SC
Enumeration date
12/11/2006
Last updated
08/05/2020
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