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

Island Park Dermatology LLC

Organization Dermatology Physician · NPI 1194436956

Island Park Dermatology LLC is a Dermatology Physician in Daniel Island, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

109 River Landing Dr Ste 400
Daniel Island, SC 29492-7300
Phone: (843) 469-5641
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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 number1194436956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Wilson — Owner · (843) 469-5641
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address109 River Landing Dr Ste 400, Daniel Island, SC 29492-7300

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