Provider Demographics
NPI:1982008439
Name:BINEGAR, GARRY SR (MD)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:
Last Name:BINEGAR
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SPRING ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-4006
Mailing Address - Country:US
Mailing Address - Phone:843-987-0090
Mailing Address - Fax:843-987-0090
Practice Address - Street 1:38 SPRING ISLAND DR
Practice Address - Street 2:CALLAWASSIE ISLAND
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-4006
Practice Address - Country:US
Practice Address - Phone:843-987-0090
Practice Address - Fax:843-987-0090
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16194207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology