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General NPI Number Information
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NPI Number | 1033686928
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Entity Type | Organization
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Legal Business Name | DERRINGTON DERMATOLOGY, PA
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1235 NEXTON PKWY STE B
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2167
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Country | US
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Telephone | 843-459-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 NEXTON PKWY UNIT B
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2936
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Country | US
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Telephone | 843-459-8400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH M DERRINGTON
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Credential | MD
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Telephone | 843-459-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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