Individual
HETTY CARRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
217 LAKE MEADE DR, CHAGRIN FALLS, OH 44022-1566
(443) 858-0854
Mailing address
217 LAKE MEADE DR, CHAGRIN FALLS, OH 44022-1566
(443) 858-0854
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D57805
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401516900
—
MD
Enumeration date
05/03/2006
Last updated
02/20/2017
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