Individual
DR. GARY G CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7730 MONTGOMERY RD STE 120, CINCINNATI, OH 45236-4284
(513) 791-5999
(513) 791-4567
Mailing address
PO BOX 631662, CINCINNATI, OH 45263-1662
(859) 581-7120
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.028347
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213183
—
OH
01
—
180021895
MEDICARE RAILROAD
—
05
—
64010390
—
KY
Enumeration date
06/01/2005
Last updated
01/23/2019
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