Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of SC PC

Organization Dermatology Physician · NPI 1447911938

Advanced Dermatology of SC PC is a Dermatology Physician 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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