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Individual

JANICE M EWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1200 HIGHMARKET ST, SUITE 200, GEORGETOWN, SC 29440-3227
(843) 546-8421
(843) 546-1173
Mailing address
1200 HIGHMARKET ST, SUITE 200, GEORGETOWN, SC 29440-3227
(843) 546-8421
(843) 546-1173

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
506
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124218003
MEDICARE GROUP NPI
SC
05
GP0700
SC
Enumeration date
08/30/2006
Last updated
10/12/2007
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