Individual
DR. WILLIAM JESSUP CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(770) 520-8303
(478) 500-8205
Mailing address
3535 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(770) 520-8303
(478) 500-8205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
91276
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
91276
GA
Other
Enumeration date
05/03/2013
Last updated
10/27/2025
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