Ethan Irvin, PHYSICIANASSISTANT
Ethan Irvin, PHYSICIANASSISTANT is a Military Health Care Provider in Robins AFB, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
655 7th St Bldg 700Robins AFB, GA 31098-2227
Phone: (478) 497-7569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
Record details
| NPI number | 1538834619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2021 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 28, 2023 |
| Mailing address | 2803 Medical Campus Dr, Goldsboro, NC 27531 |
Other providers in Robins AFB
-
Emily Stolten, DO
112 Crescent Dr, Robins AFB, GA 31098-1300 · (478) 550-9921
-
Miss. Emmalyn V Tague, PHYSICIANASSOCIATE
78TH Medical Group 655 Seventh St, Robins AFB, GA 31098 · (478) 327-8487