| Doctor Name: | WILLIAM R CARSON |
| NPI Number: | 1851445225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | WV18114 |
| Business Practice Address: | 400 Fairview Heights Rd Ste 301 Summersville, WV - 266519308 |
| Business Phone Number: | 3048807988 |
| Business Fax Number: | 3048807987 |
| Mailing Address: | Po Box 927, SUMMERSVILLE |
| State: | WV |
| Postal Code: | 266510927 |
| Phone Number: | 3048807988 |
| Fax Number: | 3048807987 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | WV18114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |