MEDICARE: DR. TOMAS FORAL DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	63775	GA

General Provider Information

NPI Number	:	1225369143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOMAS FORAL DO

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE STOP A
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-643-1875
Fax Number	:	910-396-7320

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVENUE WOMACK ARMY MEDICAL CENTER
Second Line	:
City	:	FORT LIBERTY
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-643-1875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2010
Last Update Date	:	12/17/2025

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