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Organization
WAYNE CANNON PT AND ASSOCIATES
Active
Organization
WAYNE CANNON PT AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE BURLEY BROWNING ATC (OFFICE MANAGER)
(336) 659-8634
Entity
Organization
Contact information
Practice address
760 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7105
(336) 659-8634
(336) 659-8636
Mailing address
760 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7105
(336) 659-8634
(336) 659-8636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07965
BCBSNC
NC
01
—
21531
MEDCOST
NC
01
—
4136091
AETNA
NC
Enumeration date
07/22/2006
Last updated
08/22/2020
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