Carroll, William Wise Crosby
Carroll, William Wise Crosby is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Carroll, William Wise Crosby can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 34941 | South Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 34941 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 61846 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 79892 | Georgia |
Profile Details
| NPI number | 1124380084 |
|---|---|
| LBN Legal business name | Carroll, William Wise Crosby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Oct 23rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124380084 | NPPES |
| Georgia | Other | 070892 | MEDICAL LICENSE |
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