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Advanced Dermatology of Sc PC

Dermatology Physician in Fort Mill, SC · enumerated 2022 · authorized official Amy Declue, Director Provider Enrollment.

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

National Provider Identifier

1447911938

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of Sc PC
Parent organization Advanced Dermatology of Sc PC
Practice address 1700 First Baxter Xing Ste 101, Fort Mill, SC, 29708
Fax (803) 802-3329
Enumeration date Jan 6, 2022
Last updated in NPPES Jan 6, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Declue
Title Director Provider Enrollment

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

Where is Advanced Dermatology of Sc PC located?
The practice location on file with NPPES is in Fort Mill, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-06. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-06.