Organization
RALEIGH SURGICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOODWARD CANNON MD (PRESIDENT/PARTNER)
(919) 782-8210
Entity
Organization
Contact information
Practice address
2800 BLUE RIDGE RD, STE 503, RALEIGH, NC 27607-6477
(919) 782-8210
(919) 781-4650
Mailing address
2800 BLUE RIDGE RD, STE 503, RALEIGH, NC 27607-6477
(919) 782-8210
(919) 781-4650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235Q
BCBS
NC
05
—
89023SQ
—
NC
Enumeration date
06/24/2005
Last updated
07/21/2022
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