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Fort Mill Dermatology, LLC

Dermatology Physician in Fort Mill, SC · enumerated 2006 · authorized official Rebecca Smith, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053334045

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Mill Dermatology, LLC
Practice address 1700 First Baxter Xing, Ste 101, Fort Mill, SC, 29708
Fax (803) 802-3329
Enumeration date Jul 25, 2006
Last updated in NPPES Oct 29, 2007

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 15514 (SC) Primary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 29310 (SC) Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians · License 15514 (SC) Secondary

Authorized official

Name Rebecca Smith
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fort Mill Dermatology, LLC?
NPPES lists Rebecca Smith (President) as the authorized official for this organization.
What is the NPI number for Fort Mill Dermatology, LLC?
The NPI for Fort Mill Dermatology, LLC is 1053334045, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-29.