Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN BRODY CLONTZ, PA-C
ActiveMR. ETHAN BRODY CLONTZ, PA-C is a Physician Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1275131054 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLESTON, SC
Registration Details
- NPI Number
- 1275131054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2020 (5.8279080041582 yrs)
- Last Updated
- May 24, 2022
- License
-
3574 (SC)
Practice Information
- Address
-
171 ASHLEY AVECHARLESTON, SC, 294256483Browse SC providers · Browse ZIP 29425
- Phone
- 8437921414
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| MS. BETH ALLISON GRIFFIN | PA-C | 1356346688 |
| MS. JULIE H NEVILLE | PA | 1609875483 |
| MRS. RENEE L. LARSEN | P.A. | 1740289511 |
| MRS. VICKI E ALLEN | PA C | 1811987407 |
| MICHAEL D OVERCASH | PA | 1376520171 |
| KARA COMPTON | PA-C | 1609840206 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.