Organization
RIBAUT MEDICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CLARK TRASK MD (GENERAL PARTNER)
(843) 524-2001
Entity
Organization
Contact information
Practice address
1094 RIBAUT RD, BEAUFORT, SC 29902-5437
(843) 524-2001
Mailing address
1094 RIBAUT RD, BEAUFORT, SC 29902-5437
(843) 524-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26623
SC
207QB0002X
Obesity Medicine (Family Medicine) Physician
MD26623
SC
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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