Healthcare Provider Details

I. General information

NPI: 1154300135
Provider Name (Legal Business Name): WILLIAM C CARR JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HOSPITAL RD
STARKVILLE MS
39759-2163
US

IV. Provider business mailing address

1818 TIMBER CREEK RD.
STARKVILLE MS
39759
US

V. Phone/Fax

Practice location:
  • Phone: 662-615-2503
  • Fax: 662-615-2554
Mailing address:
  • Phone: 662-338-5053
  • Fax: 662-615-2554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2008023872
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number15856
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: