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Organization

HERITAGE DERMATOLOGY PC

Active
Other names
Dermatology Associates of the Lowcountry
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SCOTT CARTER (CREDENTIALING MANAGER)
(630) 590-9250
Entity
Organization

Contact information

Practice address
3901 MAIN ST, SUITE D, HILTON HEAD ISLAND, SC 29926-4614
(843) 689-5259
(843) 689-3797
Mailing address
PO BOX 3821, BLUFFTON, SC 29910-3821
(843) 689-5259
(843) 689-3797

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11219
SC
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112194
SC
Enumeration date
07/03/2006
Last updated
03/03/2026
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