1. Home
  2. Directory
  3. South Carolina
  4. Fort Mill
  5. Dermatology
  6. NPI Profile

ADVANCED DERMATOLOGY OF SC PC
NPI 1447911938
Dermatology in Fort Mill, SC

Active since January 06, 2022
1700 FIRST BAXTER XING STE 101, FORT MILL, SC 29708(803) 802-3376(803) 802-3329 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology Of Sc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY OF SC PC (NPI 1447911938) is a healthcare organization registered as a dermatology in Fort Mill, South Carolina and active in the NPI registry since January 2022. The organization lists Amy Declue, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1447911938
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF SC PC
Location Address1700 FIRST BAXTER XING STE 101Fort Mill, SC 29708-8950
Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (079) 177-2934 · Fax (407) 650-3455
Phone(803) 802-3376
Fax(803) 802-3329
Organization SubpartYes
Authorized OfficialAmy DeclueDirector Provider Enrollment · (407) 917-7293
Enumeration DateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1447911938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1700 FIRST BAXTER XING STE 101, Fort Mill, SC 29708
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dermatology Of Sc PC's NPI number?

The NPI number for Advanced Dermatology Of Sc PC is 1447911938. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Advanced Dermatology Of Sc PC located?

Advanced Dermatology Of Sc PC is located at 1700 First Baxter Xing Ste 101, Fort Mill, SC 29708. The listed phone number is (803) 802-3376.

What is Advanced Dermatology Of Sc PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of Sc PC was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.