Carroll, William Thomas

Carroll, William Thomas is an sole proprietor health care provider with primary practice located at 601 Dallas Hwy , Villa Rica GA 30180-1202. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Carroll, William Thomas can be contacted via phone (770) 812-3000.

Contact Information

Primary practice address
601 Dallas Hwy Villa Rica GA 30180-1202
Phone: (770) 812-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 234604 Georgia
Nursing Service Providers / Critical Care Medicine 163WC0200X 234604 Georgia

Profile Details

NPI number 1164002481
LBN Legal business name Carroll, William Thomas
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2021
Last updated Jul 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164002481 NPPES
Georgia Other 234604 RN

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