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Contact Information

CARROLL D SCROGGIN, MD
4808E JOHNSON AVE
JONESBORO, AR72401-8413
 Phone: 870-936-7000
 Fax: 870-934-3677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CARROLL D SCROGGIN · (Male)

NPI Number 1821058991
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 11/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C-6880
  • AR Medicaid 113013001
  • MO Medicaid 203183603
Hospital affiliation(s)
  • NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    4800 EAST JOHNSON AVENUE
    JONESBORO, AR 72401
  • ST VINCENT INFIRMARY MEDICAL CENTER - (Acute Care)
    TWO ST VINCENT CIRCLE
    LITTLE ROCK, AR 72205
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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