Cannon, Woodward

Cannon, Woodward is an individual health care provider with primary practice located at 2800 Blue Ridge Rd Ste 503, Raleigh NC 27607-6477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cannon, Woodward can be contacted via phone (919) 782-8210.

Contact Information

Primary practice address
2800 Blue Ridge Rd Ste 503 Raleigh NC 27607-6477
Phone: (919) 782-8210
Fax: (919) 781-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21631 North Carolina

Profile Details

NPI number 1255335147
LBN Legal business name Cannon, Woodward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255335147 NPPES
North Carolina MEDICAID 8921061
North Carolina Other 21061

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