Scroggin, Carroll D.

Scroggin, Carroll D. is an individual health care provider with primary practice located at 4808E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Scroggin, Carroll D. can be contacted via phone (870) 936-7000.

Contact Information

Primary practice address
4808E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-7000
Fax: (870) 934-3677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C-6880 Arkansas

Profile Details

NPI number 1821058991
LBN Legal business name Scroggin, Carroll D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 5th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821058991 NPPES
Arkansas MEDICAID 113013001
Arkansas MEDICAID 203183603

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