Individual
THOMAS EDWARD DANNALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-8383
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15188
WV
207Q00000X
Family Medicine Physician
2016-02203
NC
208M00000X
Hospitalist Physician
Primary
2016-02203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052054000
—
WV
05
—
0684988
—
OH
01
—
080039849
MEDICARE RAILROAD
—
05
—
1316987100
—
NC
Enumeration date
06/08/2006
Last updated
05/10/2024
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