Organization
MOUNTAIN STATE ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R CARSON M.D. (PRESIDENT)
(304) 900-2589
Entity
Organization
Contact information
Practice address
4089W WEBSTER RD, SUMMERSVILLE, WV 26651-9682
(304) 900-2589
(800) 397-1586
Mailing address
4089 WEBSTER RD, SUMMERSVILLE, WV 26651-7200
(304) 900-2589
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
03/13/2024
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