Provider Demographics
NPI:1154565562
Name:CARTER, WILLIAM EDGAR III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDGAR
Last Name:CARTER
Suffix:III
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980661
Mailing Address - Street 2:PMR: SPINAL CORD INJURY
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0661
Mailing Address - Country:US
Mailing Address - Phone:804-828-4233
Mailing Address - Fax:
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:PM&R: SPINAL CORD INJURY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-4233
Practice Address - Fax:804-828-5074
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
390200000X
VA01012493652081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program