Baucom, Taylor Keith
Baucom, Taylor Keith is an individual health care provider with primary practice located at 3793 Mcdowell Ln Medical Park 2, Suite 100, Little River SC 29566. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baucom, Taylor Keith can be contacted via phone (843) 390-0100.Contact Information
Primary practice address
3793 Mcdowell Ln Medical Park 2, Suite 100
Little River SC 29566
Phone: (843) 390-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4861 | South Carolina |
Profile Details
| NPI number | 1891479929 |
|---|---|
| LBN Legal business name | Baucom, Taylor Keith |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2023 |
| Last updated | Jun 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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