FORT MILL DERMATOLOGY, LLC

Dermatology

Active Organization
NPI: 1053334045

Practice Address

1700 FIRST BAXTER XING
STE 101
Fort Mill, SC 29708

Phone: (803) 802-3376

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 15514 (SC)
Dermatology - Pediatric Dermatology 207NP0225X No 15514 (SC)

Frequently Asked Questions

NPI 1053334045 is the National Provider Identifier for FORT MILL DERMATOLOGY, LLC, a Dermatology provider located in Fort Mill, SC. This NPI was enumerated on July 25, 2006.

Quick Facts

NPI
1053334045
Type
Organization
Enumerated
Jul 25, 2006
Last Updated
Oct 29, 2007

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