Provider Demographics
NPI:1215246772
Name:EASON, CAROL N (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:N
Last Name:EASON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:NORWOOD
Other - Last Name:EASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1707 SCOTT SALEM RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-9530
Mailing Address - Country:US
Mailing Address - Phone:501-316-1040
Mailing Address - Fax:
Practice Address - Street 1:1707 SCOTT SALEM RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-9530
Practice Address - Country:US
Practice Address - Phone:501-316-1040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC2842207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology