Organization
MT PLEASANT DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA M ROPER (CREDENTIALING MANAGER)
(843) 936-7189
Entity
Organization
Contact information
Practice address
570 LONG POINT ROAD, SUITE 200, MT. PLEASANT, SC 29464
(843) 881-0320
(843) 881-5453
Mailing address
570 LONG POINT ROAD, SUITE 200, MT. PLEASANT, SC 29464
(843) 881-0320
(843) 881-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
SC
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0213
—
SC
Enumeration date
05/11/2006
Last updated
08/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up