Individual
TAYLOR EVANS BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 MAIN ST N, BETHUNE, SC 29009-9750
(843) 334-7145
Mailing address
103 MAIN ST N, BETHUNE, SC 29009-9750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4338
SC
Other
Enumeration date
03/08/2022
Last updated
09/18/2025
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