Individual
WILLIAM WISE CROSBY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34941
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
34941
SC
207YP0228X
Pediatric Otolaryngology Physician
61846
MN
207YP0228X
Pediatric Otolaryngology Physician
79892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070892
MEDICAL LICENSE
GA
Enumeration date
06/15/2012
Last updated
10/23/2020
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