NPI 1053334045

Fort Mill Dermatology, LLC

Organisation Dermatology Physician Fort Mill, SC

Practice location

Address: 1700 First Baxter Xing STE 101, Fort Mill, SC 29708-8919
Phone: (803) 802-3376
Fax: (803) 802-3329

Authorised official

Name: Rebecca Lynn Smith
Title: President
Phone: (803) 802-3376

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 15514 (SC)

Other Dermatology providers in South Carolina →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 29310 (SC)

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 15514 (SC)

Registry record

NPI: 1053334045
Entity type: Organization
NPI issued: 25 Jul 2006
Record last updated: 29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.