Individual
MR. WILLIAM CARLTON CABANISS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1554 UNION RD STE C, GASTONIA, NC 28054-5581
(704) 678-8876
(704) 772-0723
Mailing address
7384 DAN RHYNE RD, VALE, NC 28168-9427
(843) 817-7077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02367
NC
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
10/09/2018
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