# MR. BARRY SCOTT CARROLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669477469
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C8231 | AR | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 04/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124580001 | — | AR |
| 01 | — | 5532098 | AETNA | AR |
| 01 | — | 5J262 | BLUECROSS ARKANSAS | AR |
| 01 | — | 5J262B477 | MEDICARE PIN | AR |
| 01 | — | P00014280 | RAILROAD PIN | AR |