DR. KENNETH RAY WARRICK (NPI# 1366455206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366455206 |
| Entity Type | Individual |
| Full Name | DR. KENNETH RAY WARRICK |
| Credential | M.D. |
| Practice Address |
3600 Sea Mountain Hwy Suite A Little River SC 29566-8161 |
| Mailing Address |
Po Box 100523 Florence SC 29502-0523 |
| Practice Telephone | 8433999965 |
| Practice Fax Number | 8433999974 |
| Mailing Telephone | 8436695162 |
| Mailing Fax Number | 8436674573 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 40472 | TN | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 7540 | SC | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
7540 | SC | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
40472 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3600 SEA MOUNTAIN HWY SUITE A |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660456 | Kenneth H. Mincey | Surgery | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2005-12-15 |
| 1841615283 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 3600 Sea Mountain Hwy, Suite - B, Little River, SC 29566-8161 | 2014-02-21 |
| 1295165579 | Waterway Primary Care,llc | Family Medicine | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 2013-11-22 |
| 1346674371 | Southern Surgical Group, LLC | Surgery | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2013-08-27 |
| 1740493485 | Ann Renee Caugh | Physician Assistant | 3600 Sea Mountain Hwy, Suite C, Little River, SC 29566-8161 | 2007-05-08 |
| 1699859355 | Southern Surgical, Pa | Specialist | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2006-10-25 |
| 1841239233 | Timothy Andrew Gajewski | Urology | 3600 Sea Mountain Hwy, Suite B, Little River, SC 29566-8161 | 2006-06-04 |
| 1750351706 | Melanie A Hopkins | Pathology | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730596685 | Atlantic Dermatology | Dermatology | 3600 Sea Mountain Hwy Ste A, Little River, SC 29566-8161 | 2014-07-11 |
| 1275509739 | Shannon R Hussey | Dermatology | 3361 Highway 9 E, Little River, SC 29566-7826 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075343 | Dermatology and Skin Surgery Inc | Dermatology | 325 Broad St Ste 200, Sumter, SC 29150-4167 | 2020-02-18 |
| 1942844667 | Oakview Dermatology | Dermatology | 937 Riverwalk Pkwy Ste 202, Rock Hill, SC 29730-0178 | 2019-11-06 |
| 1427614577 | Georgia Dermatology & Skin Cancer Center, LLC | Dermatology | 2110 Woodside Executive Court, Aiken, SC 29803-3809 | 2019-05-14 |
| 1578038535 | Integrated Dermatology of Hilton Head, LLC | Dermatology | 3901 Main St Ste D, Hilton Head, SC 29926-4613 | 2018-10-05 |
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 1598179947 | Georgetown Physician Associates, LLC | Dermatology | 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 | 2014-06-13 |
| 1770996621 | David Mark Perry | Dermatology | 48 Folly Road Blvd, Charleston, SC 29407-7507 | 2014-06-09 |
| 1891106811 | Sarah M. Derrington | Dermatology | 9217 University Blvd., Ste C1b, Charleston, SC 29406 | 2014-05-13 |
| 1649619404 | Richard Pierce | Dermatology | 776 Daniel Ellis Dr Ste 1a, Charleston, SC 29412-3095 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.