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1356325393

NPI Code Detail

MEDICARE: WILLIAM FORREST CARSON MD

MEDICARE: WILLIAM FORREST CARSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	200300451	NC
2	2085R0202X	Diagnostic Radiology Physician	19335	MS
3	2085R0204X	Vascular & Interventional Radiology Physician	200300451	NC
4	2085U0001X	Diagnostic Ultrasound Physician	200300451	NC
5	2085R0202X	Diagnostic Radiology Physician	200300452	NC

General Provider Information

NPI Number	:	1356325393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM FORREST CARSON MD

Provider Business Mailing Address
First Line	:	PO BOX 55769
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39296-5769
Country	:	US
Telephone Number	:	601-200-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 BILTMORE AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4601
Country	:	US
Telephone Number	:	828-778-9178
Fax Number	:	601-682-7909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	02/12/2025

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Directions to “ WILLIAM FORREST CARSON MD” Practice Location

Language	Start Address	Practice Location

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