Healthcare Provider Details

I. General information

NPI: 1225196934
Provider Name (Legal Business Name): CARUTHERS & WOLVERTON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6924 GEYER SPRINGS RD
LITTLE ROCK AR
72209
US

IV. Provider business mailing address

6924 GEYER SPRINGS RD
LITTLE ROCK AR
72209
US

V. Phone/Fax

Practice location:
  • Phone: 501-562-1463
  • Fax: 501-562-2702
Mailing address:
  • Phone: 501-562-1463
  • Fax: 501-562-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberN6021
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN6021
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROL SUE CARUTHERS
Title or Position: PHYSICIAN
Credential: MD
Phone: 501-562-1463