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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164002481 | NPPES |
Georgia | Other | 234604 | RN |
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