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Mr. Ethan Brody Clontz, PA-C
Physician Assistant in Charleston, South Carolina
NPI 1275131054

Ethan Brody Clontz is a Physician Assistant based in Charlotte, SC. Ethan Brody Clontz practices in Charleston, SC and has the professional credentials of PA-C. The NPI Number for Ethan Brody Clontz is 1275131054 and holds a License No. 3574 (South Carolina).

The current practice location address for Ethan Brody Clontz is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275131054
Provider Name
Ethan Brody Clontz
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4496PA 05 SC
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-6483
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-6483
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
3574 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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