Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN IRVIN, PHYSICIAN ASSISTANT
Active Sole ProprietorETHAN IRVIN, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in ROBINS AFB, Georgia. NPI 1538834619 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROBINS AFB, GA
Registration Details
- NPI Number
- 1538834619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2021 (4.9726651991772 yrs)
- Last Updated
- Jul 28, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
655 7TH ST BLDG 700ROBINS AFB, GA, 310982227Browse GA providers · Browse ZIP 31098
- Phone
- 4784977569
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ROBINS AFB, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN GRAVGAARD | MPAS, PA-C | 1578545281 |
| DOROTHY M MACK | MPH, PA-C | 1346250099 |
| REGINA NJU AWUNG | PHYSICIAN ASSSISTANT | 1255427308 |
| MISS EMMALYN V. TAGUE | PHYSICIAN ASSOCIATE | 1245540566 |
| CHAD BROOKS | MS, PA-C | 1740574516 |
| MRS. KATHRYN MCINVALE EVANS | PA-C | 1689015588 |
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.