Provider Demographics
NPI:1558348482
Name:CARTER, WILLIAM C III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:CARTER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2687 LAKE PARK DR
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9100
Mailing Address - Country:US
Mailing Address - Phone:843-577-9530
Mailing Address - Fax:843-577-9531
Practice Address - Street 1:125 DOUGHTY ST
Practice Address - Street 2:SUITE 380
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5736
Practice Address - Country:US
Practice Address - Phone:843-577-9530
Practice Address - Fax:843-805-6240
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2017-02-17
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Provider Licenses
StateLicense IDTaxonomies
SC7869208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1702Medicaid
SCC60578Medicare UPIN
C605788519Medicare PIN