Provider Demographics
NPI:1386449866
Name:ECKART, OLIVIA ASHTON (PA-C)
Entity type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:ASHTON
Last Name:ECKART
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 REMUS WAY
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-3899
Mailing Address - Country:US
Mailing Address - Phone:864-631-8288
Mailing Address - Fax:
Practice Address - Street 1:101 REMUS WAY
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-3899
Practice Address - Country:US
Practice Address - Phone:864-631-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant