Organization
CARROLL FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY SCOTT CARROLL M.D. (PHYSICIAN)
(501) 745-6100
Entity
Organization
Contact information
Practice address
244 HIGHWAY 65 N, SUITE 1, CLINTON, AR 72031-6390
(501) 745-6100
(501) 745-6128
Mailing address
PO BOX 808, CLINTON, AR 72031-0808
(501) 745-6100
(501) 745-6128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8231
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124580001
—
AR
01
—
5J262
BLUECROSS ARKANSAS
AR
01
—
5J262B477
MEDICARE PIN
AR
01
—
P00014280
RAILROAD PIN
AR
Enumeration date
11/01/2011
Last updated
11/01/2011
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