Individual
TAYLOR MUSTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-3300
(803) 936-7735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025747
NY
363AS0400X
Surgical Physician Assistant
Primary
4416
SC
Other
Enumeration date
10/12/2020
Last updated
01/12/2024
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