Individual
SAMUEL CLARK TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1094 RIBAUT RD, BEAUFORT, SC 29902
(843) 524-2001
(843) 379-2004
Mailing address
1094 RIBAUT RD, BEAUFORT, SC 29902-5437
(843) 524-2001
(843) 379-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26623
SC
Other
Enumeration date
11/07/2005
Last updated
11/19/2017
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