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

Seaside Dermatology PA

Organization Dermatology Physician · NPI 1376969428

Seaside Dermatology PA is a Dermatology Physician in Murrells Inlet, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4017 Highway 17 Ste 200
Murrells Inlet, SC 29576-5032
Phone: (843) 651-4600
Fax: (843) 651-4601
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 36498 (SC)

Record details

NPI number1376969428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vienna Gibson — Owner · (843) 651-4600
NPI enumeratedMarch 13, 2014
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing addressPo Box 691, Murrels Inlet, SC 29576

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