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

Southern Dermatology LLC

Organization Dermatology Physician · NPI 1821367046

Southern Dermatology LLC is a Dermatology Physician in Aiken, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
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

2110 Woodside Executive Ct
Aiken, SC 29803-3809
Phone: (803) 644-5779
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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 11685 (SC)

Record details

NPI number1821367046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Cook — Owner · (803) 644-5779
NPI enumeratedDecember 16, 2011
Last updated in NPPESDecember 16, 2011
Mailing address2110 Woodside Executive Ct, Aiken, SC 29803-3809

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