Individual
DR. WILLIAM R CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4089 WEBSTER RD, SUMMERSVILLE, WV 26651-7200
(304) 900-2589
(800) 397-1586
Mailing address
4089 WEBSTER RD, SUMMERSVILLE, WV 26651-7200
(304) 900-2589
(800) 397-1586
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
18114
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098219000
—
WV
01
—
0786513
MEDICARE PROVIDER NUMBER
WV
Enumeration date
01/23/2007
Last updated
03/13/2024
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