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

Myrtle Beach Dermatology

Organization Dermatology Physician · NPI 1285683003

Myrtle Beach Dermatology is a Dermatology Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006

Practice location Address checks out

1275 21st Ave N Bldg 2
Myrtle Beach, SC 29577-7514
Phone: (843) 449-9140
Fax: (843) 497-5110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 19296 (SC)

Record details

NPI number1285683003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Hussey — Partner · (843) 449-9410
NPI enumeratedMay 9, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address1275 21st Ave N Bldg 2, Myrtle Beach, SC 29577-7514

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