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

Waccamaw Dermatology, LLC

Organization Dermatology Physician · NPI 1962449181

Waccamaw Dermatology, LLC provides Dermatology Physician services in Myrtle Beach, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

917 Medical Cir
Myrtle Beach, SC 29572
Phone: (843) 449-0453
Fax: (843) 282-1910
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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 number1962449181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Coakley — Managing Partner · (843) 449-0453
NPI enumeratedMay 31, 2006
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address917 Medical Circle, Myrtle Beach, SC 29572

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