NPI 1255754008

Advanced Dermatology of Sc PC

Organisation Dermatology Physician Spartanburg, SC

Practice location

Address: 1410b John B White Sr Blvd, Spartanburg, SC 29306-3927
Phone: (864) 874-0017
Fax: (864) 574-6088
Mailing address: 151 Southhall Ln Suite 300, Maitland, FL 32751-7176

Authorised official

Name: Matt Leavitt
Title: Owner
Phone: (407) 875-2080

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in South Carolina →

Registry record

NPI: 1255754008
Entity type: Organization
NPI issued: 30 Jan 2014
Record last updated: 30 Jan 2014

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.