Island Park Dermatology Llc

LBN: Island Park Dermatology Llc
Island Park Dermatology Llc is an health care organization with primary practice located at 109 River Landing Dr Ste 400 , Daniel Island SC 29492-7300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Island Park Dermatology Llc can be contacted via phone (843) 469-5641, or through Wilson, Cynthia Irby via phone (843) 469-5641.

Contact Information

Primary practice address
109 River Landing Dr Ste 400 Daniel Island SC 29492-7300
Phone: (843) 469-5641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Cynthia Irby Doctor of Medicine (MD)
Phone: (843) 469-5641

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1194436956
LBN Legal business name Island Park Dermatology Llc
DBA Doing business as
Authorized official Wilson, Cynthia Irby Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 4 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.

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