Individual
CARROLL D. SCROGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4808E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-7000
(870) 934-3677
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-7000
(870) 934-3677
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C-6880
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113013001
—
AR
05
—
203183603
—
MO
Enumeration date
03/24/2006
Last updated
11/05/2015
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