SOUTHERN DERMATOLOGY LLC
NPI 1821367046
Dermatology in Aiken, SC

Active since December 16, 2011
2110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803(803) 644-5779 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Dermatology Llc NPPES

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

SOUTHERN DERMATOLOGY LLC (NPI 1821367046) is a healthcare organization registered as a dermatology in Aiken, South Carolina and active in the NPI registry since December 2011. The organization lists John R Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1821367046
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHERN DERMATOLOGY LLC
Location Address2110 WOODSIDE EXECUTIVE CTAiken, SC 29803-3809
Mailing Address2110 Woodside Executive CtAiken, SC 29803-3809 · (803) 644-5779
Organization SubpartNo
Authorized OfficialJohn R CookOwner · (803) 644-5779
Enumeration DateDecember 16, 2011
NPI 1821367046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in SC · 11685
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.
2110 WOODSIDE EXECUTIVE CT, Aiken, SC 29803

Other Identifiers 2

Medicare UPINE92944
MedicaidGP2477SC

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

Other Providers at the Same Location NPPES

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

Dermatology
2110 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803

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 Southern Dermatology LLC's NPI number?

The NPI number for Southern Dermatology LLC is 1821367046. It was assigned to this organization in the NPPES registry on December 16, 2011.

Where is Southern Dermatology LLC located?

Southern Dermatology LLC is located at 2110 Woodside Executive Ct, Aiken, SC 29803. The listed phone number is (803) 644-5779.

What is Southern Dermatology LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Dermatology LLC was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.