Organization
COASTAL CAREMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK TRASK MD (OWNER)
(843) 525-3344
Entity
Organization
Contact information
Practice address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Mailing address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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