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

Carolina Dermatology PA

Organization Dermatology Physician · NPI 1104678085

Carolina Dermatology PA is a Dermatology Physician in Greenville, South Carolina. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

5 Stevens St Ste 300
Greenville, SC 29605-4528
Phone: (864) 233-6338
Fax: (864) 235-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 — (864) 233-6338

Specialties & licences

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

Record details

NPI number1104678085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Darragh — Shareholder · (864) 293-0281
Other names Carolina Dermatology Of Greenville
NPI enumeratedApril 3, 2024
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address5 Stevens St Ste 300, Greenville, SC 29605-4528

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