Individual
MR. MATTHEW AARON CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
JSOMTC 5-3845 COMBAT MEDIC RD, FORT BRAGG, NC 28310-0001
(910) 396-0089
Mailing address
JSOMTC 5-3845 COMBAT MEDIC RD, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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