Provider Demographics
NPI:1124790779
Name:ARDA, AHMET (PA-C)
Entity type:Individual
Prefix:
First Name:AHMET
Middle Name:
Last Name:ARDA
Suffix:
Gender:M
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 1:2115 CHANCELLORY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6249
Mailing Address - Country:US
Mailing Address - Phone:910-382-8657
Mailing Address - Fax:
Practice Address - Street 1:LOWCOUNTRY EMERGENCY PHYSICIANS
Practice Address - Street 2:316 CALHOUN STREET
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401
Practice Address - Country:US
Practice Address - Phone:205-999-0415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant