Fort Mill Dermatology, LLC
NPI #1053334045 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1053334045
- Entity Type
- Organization
- Organization Name
- Fort Mill Dermatology, LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 1700 FIRST BAXTER XING
- Address 2
- STE 101
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29708-8919
- Phone
- (803) 802-3376
Authorized Official
- Name
- DR. REBECCA LYNN SMITH, MD
- Title
- PRESIDENT
- Phone
- (803) 802-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Pediatric Dermatology — Pediatric Dermatology |
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