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

Fort Mill Dermatology, LLC

Organization Dermatology Physician · NPI 1053334045

Fort Mill Dermatology, LLC is a Dermatology Physician in Fort Mill, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
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 29708-8919
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 · Licence 15514 (SC)
Dermatology Physician Taxonomy 207N00000X · Licence 29310 (SC)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 15514 (SC)

Record details

NPI number1053334045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Smith — President · (803) 802-3376
NPI enumeratedJuly 25, 2006
Last updated in NPPESOctober 29, 2007
Mailing address1700 First Baxter Xing, Ste 101, Fort Mill, SC 29708-8919

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