| Carroll Family Practice | |
|
244 Highway 65 N Suite 1 Clinton AR 72031-6390 | |
| (501) 745-6100 | |
| (501) 745-6128 |
| Full Name | Carroll Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 244 Highway 65 N, Clinton, Arkansas |
| Authorized Official Name and Position | Barry Scott Carroll (PHYSICIAN) |
| Authorized Official Contact | 5017456100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Family Practice Po Box 808 Clinton AR 72031-0808 Ph: (501) 745-6100 | Carroll Family Practice 244 Highway 65 N Suite 1 Clinton AR 72031-6390 Ph: (501) 745-6100 |
| NPI Number | 1093091209 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093091209 | NPI | - | NPPES |
| 124580001 | Medicaid | AR | |
| 5J262 | Other | AR | BLUECROSS ARKANSAS |
| 5J262B477 | Other | AR | MEDICARE PIN |
| P00014280 | Other | AR | RAILROAD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C8231 (Arkansas) | Primary |
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