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

Island Park Dermatology LLC

Organization Dermatology Physician · NPI 1194436956

Island Park Dermatology LLC provides Dermatology Physician services in Daniel Island, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

109 River Landing Dr Ste 400
Daniel Island, SC 29492-7300
Phone: (843) 469-5641
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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 number1194436956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Wilson — Owner · (843) 469-5641
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address109 River Landing Dr Ste 400, Daniel Island, SC 29492-7300

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