Individual
MR. JOSEPH DANIEL EWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1203 OLD TROLLEY RD, STE F, SUMMERVILLE, SC 29485-5296
(843) 486-0999
(843) 486-0989
Mailing address
1203 OLD TROLLEY RD, STE F, SUMMERVILLE, SC 29485-5296
(843) 486-0999
(843) 486-0989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2845
—
SC
Enumeration date
08/03/2006
Last updated
12/19/2017
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