Basic Information
| Provider Information | |||||||||
| NPI: | 1528014016 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARUTHERS | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | SUE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6924 GEYER SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 72209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015621463 | ||||||||
| FaxNumber: | 5015622702 | ||||||||
| Practice Location | |||||||||
| Address1: | 6924 GEYER SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 72209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015621463 | ||||||||
| FaxNumber: | 5015622702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | C5270 | AR | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.