Organization
BEAUFORT FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S CLARK TRASK MD (PARTNER)
(843) 524-3344
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
261QR1300X
Rural Health Clinic/Center
Primary
26623
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC045
—
SC
Enumeration date
07/08/2008
Last updated
07/08/2008
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