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

Ansley Devore Sullivan, MD

Individual provider Dermatology Physician · NPI 1326724014

Ansley Devore Sullivan, MD is a Dermatology Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

169 Ashley Ave Rm 202MUH
Charleston, SC 29425-1518
Phone: (843) 792-7365
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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 93053 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 93053 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL90304 (SC)

Record details

NPI number1326724014
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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