David Scott Ebert
Physician Assistant in Greenville, SC. Individual provider (NPI-1).
NPI number1023402104
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1023402104
- Entity type
- Individual (NPI-1)
- Name
- David Scott Ebert
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2015
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2300 | SC | Yes |
| 363A00000X | Physician Assistant | MPA.2300 PA | SC |
Practice location
701 Grove RdGreenville, SC 29605-4210
Phone 864-455-7000
Mailing address
1 Independence PtSuite 212
Greenville, SC 29615-4545
Phone 864-797-6307
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