Individual
WILLIAM R CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19837
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933855
—
AL
01
—
051036612
BLUE CROSS
AL
01
—
051517982
BLUE CROSS
AL
01
—
F00437
VIVA
AL
Enumeration date
06/16/2006
Last updated
06/02/2011
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