Organization
GRAND STRAND DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PATRICK JONES (MANAGING PARTNER)
(843) 215-1100
Entity
Organization
Contact information
Practice address
7410 HIGHWAY 707, MYRTLE BEACH, SC 29588-7304
(843) 215-1100
(843) 215-1211
Mailing address
7410 HIGHWAY 707, MYRTLE BEACH, SC 29588-7304
(843) 215-1100
(843) 215-1211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17893
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178952
—
SC
05
—
GP0495
—
SC
Enumeration date
05/13/2006
Last updated
10/30/2025
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