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

Waccamaw Dermatology, LLC

Organization Dermatology Physician · NPI 1962449181

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

In the registry since
2006
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

917 Medical Cir
Myrtle Beach, SC 29572
Phone: (843) 449-0453
Fax: (843) 282-1910
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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 number1962449181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Coakley — Managing Partner · (843) 449-0453
NPI enumeratedMay 31, 2006
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address917 Medical Circle, Myrtle Beach, SC 29572

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