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ISLAND PARK DERMATOLOGY LLC
NPI 1194436956
Dermatology in Daniel Island, SC

Active since December 12, 2022
109 RIVER LANDING DR STE 400, DANIEL ISLAND, SC 29492(843) 469-5641 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island Park Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND PARK DERMATOLOGY LLC (NPI 1194436956) is a healthcare organization registered as a dermatology in Daniel Island, South Carolina and active in the NPI registry since December 2022. The organization lists Cynthia Irby Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1194436956
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameISLAND PARK DERMATOLOGY LLC
Location Address109 RIVER LANDING DR STE 400Daniel Island, SC 29492-7300
Mailing Address109 River Landing Dr Ste 400Daniel Island, SC 29492-7300 · (843) 469-5641
Phone(843) 469-5641
Organization SubpartNo
Authorized OfficialCynthia Irby WilsonOwner · (843) 469-5641
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1194436956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
109 RIVER LANDING DR STE 400, Daniel Island, SC 29492
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Park Dermatology LLC's NPI number?

The NPI number for Island Park Dermatology LLC is 1194436956. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Island Park Dermatology LLC located?

Island Park Dermatology LLC is located at 109 River Landing Dr Ste 400, Daniel Island, SC 29492. The listed phone number is (843) 469-5641.

What is Island Park Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Island Park Dermatology LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Island Park Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Island Park Dermatology LLC was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.