Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology of SC PC

Organization Dermatology Physician · NPI 1447911938

Advanced Dermatology of SC PC provides Dermatology Physician services in Fort Mill, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 First Baxter Xing Ste 101
Fort Mill, SC 29708-8950
Phone: (803) 802-3376
Fax: (803) 802-3329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1447911938
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Dermatology of SC PC
Authorized official Amy Declue — Director Provider Enrollment · (407) 917-7293
NPI enumeratedJanuary 6, 2022
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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