Individual
DR. GARY V HATHCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11102 HIGHWAY 44 EAST, MT WASHINGTON, KY 40047-7211
(502) 904-9933
(502) 904-9935
Mailing address
PO BOX 1109, MT WASHINGTON, KY 40047-1109
(502) 904-9933
(502) 904-9935
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1204DT
KY
152W00000X
Optometrist
18002279
IN
152W00000X
Optometrist
4901004469
MI
Other
Enumeration date
02/13/2006
Last updated
04/13/2011
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