Individual
MR. ROGER DALE VONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2085 FRONTIS PLAZA BLVD, NOVANT HEALTH, WINSTON-SALEM,, NC 27103
(336) 718-5402
Mailing address
2916 CLINE SCHOOL RD, CONCORD, NC 28025-7341
(704) 791-7102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221866O
NC
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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