Mr. Ethan Revels
Mr. Ethan Revels is a Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.
- Licensed in
- SC
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
15102 Sweet PlCharleston, SC 29492-2831
Phone: (704) 689-3747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (SC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1578486155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 31, 2026 |
| Last updated in NPPES | July 31, 2026 |
| Certification date | July 31, 2026 |
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