Individual
DOMINICK JOHN CARBONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-0040
(336) 526-0043
Mailing address
200 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-0040
(336) 526-0043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9700498
NC
Other
Enumeration date
11/18/2005
Last updated
11/03/2011
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