Individual
CHARLES S. CARRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10650 US ROUTE 60, ASHLAND, KY 41102-9611
(606) 408-6301
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04828
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419800
—
OH
05
—
7100695210
—
KY
Enumeration date
06/27/2017
Last updated
12/14/2022
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