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CHARLOTTE DERMATOLOGY,PA
NPI 1720225501
Specialist in Conway, SC

Active since January 15, 2009
660 SINGLETON RIDGE RD, CONWAY, SC 29526(866) 985-3376(704) 364-4245 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlotte Dermatology,pa NPPES

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

CHARLOTTE DERMATOLOGY,PA (NPI 1720225501) is a healthcare organization registered as a specialist in Conway, South Carolina and active in the NPI registry since January 2009. The organization lists Gary B Slaughter, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1720225501
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLOTTE DERMATOLOGY,PA
Location Address660 SINGLETON RIDGE RDConway, SC 29526-9154
Mailing Address2630 E Seventh St, Suite 200Charlotte, NC 28204-4318 · (704) 364-6110 · Fax (704) 364-4245
Phone(866) 985-3376
Fax(704) 364-4245
Organization SubpartNo
Authorized OfficialGary B SlaughterPhysician/owner · (704) 364-6110
Enumeration DateJanuary 15, 2009
✔ NPI 1720225501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 31329
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

660 SINGLETON RIDGE RD, Conway, SC 29526
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D0684492

Charlotte Dermatology, PA · Charlotte, NC
Expired · Mar 22, 2026
CLIA Number34D0684492
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2024
Certificate Expiration DateMarch 22, 2026
Laboratory DirectorHazem M. El Gamal
Laboratory Phone(330) 749-8623
Laboratory LocationCharlotte Dermatology, PA2630 East Seventh Street, Suite 200, Charlotte, NC 28204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 42D2217304

Charlotte Dermatology PA · Myrtle Beach, SC
Expired · Apr 11, 2026
CLIA Number42D2217304
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2024
Certificate Expiration DateApril 11, 2026
Laboratory DirectorStephen B. Hammond
Laboratory Phone(843) 839-2460
Laboratory LocationCharlotte Dermatology PA8208 Devon Court, Ste B, Myrtle Beach, SC 29572
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINSTON MCIVER JR. MD
Family Medicine
660 SINGLETON RIDGE RD, SUITE A
CONWAY, SC 29526
Horry County (843) 234-4362

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 Charlotte Dermatology,pa's NPI number?

The NPI number for Charlotte Dermatology,pa is 1720225501. It was assigned to this organization in the NPPES registry on January 15, 2009.

Where is Charlotte Dermatology,pa located?

Charlotte Dermatology,pa is located at 660 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (866) 985-3376.

What is Charlotte Dermatology,pa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Charlotte Dermatology,pa accept?

Health plans from BlueCross BlueShield of South Carolina list Charlotte Dermatology,pa 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 Charlotte Dermatology,pa was last updated on January 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.