Provider Demographics
NPI:1649342585
Name:CARROLL, WILLIAM STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:CARROLL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:499 GLOSTER CREEK VLG STE A2
Mailing Address - Street 2:CARDIOLOGY ASSOCIATES OF NORTH MS
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4749
Mailing Address - Country:US
Mailing Address - Phone:662-620-6922
Mailing Address - Fax:
Practice Address - Street 1:499 GLOSTER CREEK VLG STE A2
Practice Address - Street 2:CARDIOLOGY ASSOCIATES OF NORTH MS
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4749
Practice Address - Country:US
Practice Address - Phone:662-620-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS19206207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I111879Medicare PIN