Carolina Dermatology Clinic, Pa
LBN: Carolina Dermatology Clinic, Pa
Carolina Dermatology Clinic, Pa is an health care organization with primary practice located at 933 Saint Andrews Blvd , Charleston SC 29407. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Carolina Dermatology Clinic, Pa can be contacted via phone (843) 766-9868, or through Kotz, Edward A. via phone (843) 766-9868.
Contact Information
Primary practice address
933 Saint Andrews Blvd
Charleston SC 29407
Phone: (843) 766-9868
Fax: (843) 571-4925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 24039 | South Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 24039 | South Carolina |
Profile Details
| NPI number | 1639202294 |
|---|---|
| LBN Legal business name | Carolina Dermatology Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Kotz, Edward A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jan 18th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639202294 | NPPES |
| South Carolina | MEDICAID | 240395 | |
| South Carolina | MEDICAID | GROUPGP4945 |
Popular Providers
-
Derrington Dermatology, Pa
9217 University Blvd Suite C1B, North Charleston SC 29406-9147 -
Wright State Physicians Inc
725 University Blvd , Dayton OH 45435-0001 -
Magnolia Dermatology, Llc
48 Folly Road Blvd , Charleston SC 29407-7507 -
Dermatology And Laser Center Of Charleston Pa
2180 Henry Tecklenburg Dr , Charleston SC 29414-5798 -
University Medical Associates
171 Ashley Ave , Charleston SC 29425-8908 -
Fiona Rahbar Md Llc
635 Saint Andrews Blvd , Charleston SC 29407-7174 -
Franklin Medical Group, Pc
56 Franklin St , Waterbury CT 06706-1221 -
Lowcountry Dermatology Associates
8 Farmfield Ave Suite D, Charleston SC 29407-7779