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

Coastal Dermatology, LLC

Organization Dermatology Physician · NPI 1164690822

Coastal Dermatology, LLC is a Dermatology Physician in Mount Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008
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

999 Lake Hunter Cir
Mount Pleasant, SC 29464-5427
Phone: (843) 881-2265
Fax: (843) 881-2789
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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 22838 (SC)

Record details

NPI number1164690822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Mittlebronn — Billing/ Credentialing · (843) 881-2265
NPI enumeratedFebruary 15, 2008
Last updated in NPPESMay 10, 2011
Mailing address999 Lake Hunter Cir, Mount Pleasant, SC 29464-5427

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