Individual
MR. ETHAN WALL VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2067 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
Mailing address
4975 LACROSS RD STE 150, NORTH CHARLESTON, SC 29406-6531
(843) 737-9467
(843) 371-5507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
89369
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2018
Last updated
04/24/2023
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