Provider profile · NPI 1255754008

Advanced Dermatology Of Sc Pc

Dermatology · Spartanburg, SC · NPI 1255754008 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Jan 30, 2014

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING151 SOUTHHALL LN SUITE 300Maitland, FL 32751-7176407-875-2080
LOCATION1410B JOHN B WHITE SR BLVD Spartanburg, SC 29306-3927864-874-0017

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.