Individual
MICHAEL LOUIS CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0095-00033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1131R
BLUE CROSS
NC
05
—
2004805000
—
WV
01
—
24396
PARTNERS
NC
01
—
5445723
AETNA
NC
05
—
6729746
—
VA
01
—
79555
MEDCOST
NC
05
—
891131R
—
NC
05
—
Q00031
—
SC
Enumeration date
12/27/2005
Last updated
11/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us