Organization · Type 2 NPI

Carolina Dermatology PA

Dermatology Physician · Greenville, SC

NPI number 1104678085 Active

Practice location

5 Stevens St Ste 300
Greenville, SC 29605-4528

Fax (864) 235-1982

Other practice locations

  • 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 · (864) 233-6338

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104678085

Carolina Dermatology PA's National Provider Identifier is 1104678085, issued on Apr 3, 2024. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Greenville, SC. The record was last updated on Nov 10, 2025.