Organization · Type 2 NPI

Fort Mill Dermatology, LLC

Dermatology Physician · Fort Mill, SC

NPI number 1053334045 Active

Practice location

1700 First Baxter Xing, Ste 101
Fort Mill, SC 29708-8919

Fax (803) 802-3329

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X15514 (SC)
Dermatology Physician 207N00000X29310 (SC)
Pediatric Dermatology Physician 207NP0225X15514 (SC)

Dermatology Physician: 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 an…

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About NPI 1053334045

Fort Mill Dermatology, LLC's National Provider Identifier is 1053334045, issued on Jul 25, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Fort Mill, SC. The record was last updated on Oct 29, 2007.