Individual
DR. WOODWARD CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
21631
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21061
BCBS
NC
05
—
8921061
—
NC
Enumeration date
06/08/2005
Last updated
08/14/2009
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