Individual
MR. DELTON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
(501) 686-9618
Mailing address
7 FALCON CT APT 10, LITTLE ROCK, AR 72210-4428
(501) 455-4543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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