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South Charleston Dermatology Pllc

Dermatology Physician in South Charleston, WV · enumerated 2006 · authorized official Michelle Endicott, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174604409

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Registry record

Entity type Organization (Type 2)
Legal business name South Charleston Dermatology Pllc
Practice address 4815 Kanawha Ave Sw, South Charleston, WV, 25309
Phone (304) 768-4567
Fax (304) 768-2277
Enumeration date Oct 17, 2006
Last updated in NPPES Dec 12, 2011

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2097 (WV) Primary

Authorized official

Name Michelle Endicott
Title Owner/Physician
Phone (304) 768-4567

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is South Charleston Dermatology Pllc?
South Charleston Dermatology Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-12.