Healthcare Provider Details

I. General information

NPI: 1265844138
Provider Name (Legal Business Name): LAURA E CARROLL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA E CARR MD

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR STE 2D
LITTLE ROCK AR
72205-6321
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-2077
  • Fax: 501-202-1304
Mailing address:
  • Phone: 501-202-2077
  • Fax: 501-202-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-10577
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberE-10577
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: