Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital Dermatology, LLC

Organization Dermatology Physician · NPI 1164119905

Capital Dermatology, LLC is a Dermatology Physician in Columbia, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 Columbiana Dr
Columbia, SC 29212-0728
Phone: (803) 603-5923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1164119905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Jefferson — Owner And Physician · (803) 603-5923
NPI enumeratedApril 21, 2023
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023
Mailing address7001 Saint Andrews Rd Ste A12 #243, Columbia, SC 29212-1137

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