Individual provider · Type 1 NPI

Taylor Evans Branham, PA-C

Medical Physician Assistant · Bethune, SC

NPI number 1508513730 Active

Practice location

103 Main St N
Bethune, SC 29009-9750

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4338 (SC)

Medical Physician Assistant: Definition to come...

About NPI 1508513730

Taylor Evans Branham, PA-C's National Provider Identifier is 1508513730, issued on Mar 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bethune, SC. The record was last updated on Sep 18, 2025.