Healthcare Provider Details

I. General information

NPI: 1154565562
Provider Name (Legal Business Name): WILLIAM EDGAR CARTER III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST PM&R: SPINAL CORD INJURY
RICHMOND VA
23298-5051
US

IV. Provider business mailing address

PO BOX 980661 PMR: SPINAL CORD INJURY
RICHMOND VA
23298-0661
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-4233
  • Fax: 804-828-5074
Mailing address:
  • Phone: 804-828-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number0101249365
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: