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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TAYLOR KEITH BAUCOM, PA-C

Active

MR. TAYLOR KEITH BAUCOM, PA-C is a Physician Assistant healthcare provider located in LITTLE RIVER, South Carolina. NPI 1891479929 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LITTLE RIVER, SC

Registration Details

NPI Number
1891479929
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2023 (3.0358148725367 yrs)
Last Updated
Jun 9, 2023
License
4861 (SC)

Practice Information

Address
3793 MCDOWELL LN
MEDICAL PARK 2, SUITE 100
LITTLE RIVER, SC, 29566
Browse SC providers · Browse ZIP 29566
Phone
8433900100
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LITTLE RIVER, SC

Name Credential NPI
MRS. DEBRA K JOYNER PA C 1457327918
MS. HEATHER M VINCENT PA-C 1043317365
EMILY AHYUN CHOI-COHEN PA-C 1134217664
MR. ADAM W GEDNEY PA 1326109018
MS. ERIN MARIE VENEZIANO PA-C 1770863672
MRS. MARIE LOUISE VELDHUYZEN PA-C 1497133417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.