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Individual

DR. SAMUEL THOMAS DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
103 OMNI DR STE A, SENECA, SC 29672
(864) 482-3243
(864) 482-3249
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
23513
NC
207RG0100X
Gastroenterology Physician
Primary
7279
SC

Other

Enumeration date
05/18/2006
Last updated
02/15/2019
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