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Contact Information

WILLIAM T CARROLL III, ACNPC-AG
601 DALLAS HWY
VILLA RICA, GA30180-1202
 Phone: 770-812-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for WILLIAM T CARROLL III · (Male)

NPI # 1164002481
Status Active
Credentials ACNPC-AG
Entity Individual
Enumeration date 04/12/2021
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 234604
  • GA Other 234604 RN
Hospital affiliation(s)
  • TANNER MEDICAL CENTER - CARROLLTON - (Acute Care)
    705 DIXIE STREET
    CARROLLTON, GA 30117
  • TANNER MEDICAL CENTER VILLA RICA - (Acute Care)
    601 DALLAS HIGHWAY
    VILLA RICA, GA 30180
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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