Individual
MR. BARRY SCOTT CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
—
5532098
AETNA
AR
01
—
5J262
BLUECROSS ARKANSAS
AR
01
—
5J262B477
MEDICARE PIN
AR
01
—
P00014280
RAILROAD PIN
AR
Enumeration date
06/17/2005
Last updated
04/20/2012
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