| Coastal Caremd | |
|
974 Ribaut Rd Beaufort SC 29902-5486 | |
| (843) 524-3344 | |
| (843) 524-5574 |
| Full Name | Coastal Caremd |
|---|---|
| Speciality | Family Medicine |
| Location | 974 Ribaut Rd, Beaufort, South Carolina |
| Authorized Official Name and Position | Clark Trask (OWNER) |
| Authorized Official Contact | 8435253344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Caremd 974 Ribaut Rd Beaufort SC 29902-5486 Ph: (843) 524-3344 | Coastal Caremd 974 Ribaut Rd Beaufort SC 29902-5486 Ph: (843) 524-3344 |
| NPI Number | 1023255650 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023255650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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