ADVANCED DERMATOLOGY OF SC PC

FORT MILL, SC
NPI1447911938
Entity TypeOrganization
Authorized ContactAMY DECLUE
Director Provider Enrollment
407-917-7293
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Enumeration Date2022-01-06
Last Update Date2022-01-06
Business Address
ADVANCED DERMATOLOGY OF SC PC
1700 FIRST BAXTER XING STE 101
FORT MILL, SC 29708-8950
Phone number: 803-802-3376
Mailing Address
ADVANCED DERMATOLOGY OF SC PC
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number: 079-177-2934
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