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

Carolina Dermatology Grp

Organization Dermatology Physician · NPI 1083693857

Carolina Dermatology Grp is a Dermatology Physician in Columbia, South Carolina. Works from 3 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1777 Saint Julian Pl
Columbia, SC 29204-2419
Phone: (803) 771-7506
Fax: (803) 771-9455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 220 Graces Way, Columbia, SC 29229-1613 — (803) 771-7506
  • 1702 Freedom Blvd, Florence, SC 29505-6069 — (843) 407-2030

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (SC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X (SC)
Dermatopathology Physician Taxonomy 207ND0900X

Record details

NPI number1083693857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Grant — Practice Manager · (803) 771-7506
NPI enumeratedJanuary 11, 2006
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address220 Graces Way, Columbia, SC 29229-1613

Other providers in Columbia