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

Columbia Dermatology LLC

Organization Dermatology Physician · NPI 1417349747

Columbia Dermatology LLC is a Dermatology Physician in Columbia, South Carolina. Registered with an NPI since 2015.

In the registry since
2015
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

2241 Bush River Rd
Columbia, SC 29210-5626
Phone: (304) 894-4582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1417349747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Burgy — Physician · (304) 894-4582
NPI enumeratedFebruary 24, 2015
Last updated in NPPESJune 11, 2015
Mailing address2241 Bush River Rd, Columbia, SC 29210-5626

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