South Carolina requires out-of-state physicians to hold a full SC license for telemedicine

South Carolina law requires that a physician practicing telemedicine be licensed to practice medicine in the state, with only limited exceptions allowing out-of-state physicians to provide care between in-person visits under an existing treatment plan. The CCHP South Carolina page lists the state's compacts (Nurse Licensure Compact, PSYPACT, Counseling Compact) but not the physician Interstate Medical Licensure Compact, leaving no expedited multistate physician pathway. This is a cross-state licensing barrier for clinicians seeking to deliver telehealth to new South Carolina patients.

Source: Center for Connected Health Policy (CCHP), South Carolina state telehealth page (2026).