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

Individual provider Specialist · NPI 1164480166

Dr. Sam Stafford III, MD is a Specialist in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
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

570 Long Point Rd Ste 200
Mt Pleasant, SC 29464-7930
Phone: (843) 881-0320
Fax: (843) 881-5453
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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 08579 (SC)
Specialist Taxonomy 174400000X · Licence 570943516 (SC)

Record details

NPI number1164480166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESOctober 24, 2012

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