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Individual

SEAN THOMAS CANALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4414 LAKE BOONE TRL, SUITE 211, RALEIGH, NC 27607-7513
(919) 741-5966
(919) 571-4330
Mailing address
4414 LAKE BOONE TRL, SUITE 211, RALEIGH, NC 27607-7513
(919) 741-5966
(919) 571-4330

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
021219
LA
208600000X
Surgery Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128K6
BCBS
NC
01
7998996
CIGNA
NC
05
89128K6
NC
Enumeration date
12/23/2005
Last updated
03/07/2023
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