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

Carolina Dermatology Clinic, PA

Organization Specialist · NPI 1639202294

Carolina Dermatology Clinic, PA is a Specialist in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

933 Saint Andrews Blvd
Charleston, SC 29407
Phone: (843) 766-9868
Fax: (843) 571-4925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 24039 (SC)
Specialist Taxonomy 174400000X · Licence 24039 (SC)

Record details

NPI number1639202294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Kotz — Owner · (843) 766-9868
NPI enumeratedMarch 13, 2007
Last updated in NPPESJanuary 18, 2011
Mailing address933 Saint Andrews Blvd., Charleston, SC 29407

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