SUNGATE DERMATOLOGY NPI 1245675636

NPI Information

  • NPI: 1245675636
  • Provider Name: SUNGATE DERMATOLOGY
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 10 WILLIAM POPE DR
    SUNGATE MEDICAL CENTER, SUITE #4
    BLUFFTON, SC
    ZIP 29909
  • Phone: (843) 705-1513

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NPI Details

SUNGATE DERMATOLOGY is a dermatopathology dermatology in Bluffton, SC. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. SUNGATE DERMATOLOGY NPI is 1245675636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 WILLIAM POPE DR
SUNGATE MEDICAL CENTER, SUITE #4
BLUFFTON, SC
ZIP 29909-549
Phone: (843) 705-1513
Fax: (843) 705-1514

The provider's authorized official is Kenneth Daniel Farr .
The authorized official title is Medical Director and has the following contact phone number (843) 842-2020.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyMD31744SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00764908OTHERSOUTH CAROLINAMEDICARE GROUP PTAN
26830OTHERSOUTH CAROLINAMEDICARE
3CH3121OTHERSOUTH CAROLINARAILROAD MEDICARE
4GP2666MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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