Individual
TAYLOR ELIZABETH BROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10630 CLEMSON BLVD STE 100, SENECA, SC 29678-4545
(864) 482-6000
(864) 482-7000
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
6190
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2024
Last updated
03/30/2026
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