Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Carolina Dermatology Clinic, PA

Organization Specialist · NPI 1639202294

Carolina Dermatology Clinic, PA provides Specialist services in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

933 Saint Andrews Blvd
Charleston, SC 29407 Not confirmed with CMS for 15 years — call before visiting
Phone: (843) 766-9868
Fax: (843) 571-4925
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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 24039 (SC)
Specialist Taxonomy 174400000X · Licence 24039 (SC)

Record details

NPI number1639202294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Kotz — Owner · (843) 766-9868
NPI enumeratedMarch 13, 2007
Last updated in NPPESJanuary 18, 2011
Mailing address933 Saint Andrews Blvd., Charleston, SC 29407

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