Healthcare Provider Details

I. General information

NPI: 1225989163
Provider Name (Legal Business Name): CAPITAL SKIN & LASER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 TAYLOR ST STE 400
COLUMBIA SC
29201-3000
US

IV. Provider business mailing address

14 LAKE FRONT CT
COLUMBIA SC
29212-8823
US

V. Phone/Fax

Practice location:
  • Phone: 803-200-1832
  • Fax: 803-919-2337
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEAH SPRING
Title or Position: FOUNDER/PHYSICIAN
Credential: DO
Phone: 619-929-6261