MEDICARE: THOMAS VINCENT CARBONE JR. D.O

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	207RP1001X	Pulmonary Disease Physician	2023-01667	NC
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2023-01667	NC

General Provider Information

NPI Number	:	1629501325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS VINCENT CARBONE JR. D.O

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8180
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8180
Fax Number	:

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

Provider Enumeration Date	:	04/10/2017
Last Update Date	:	06/29/2026

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