Provider Demographics
NPI:1548240690
Name:CANN, THOMAS WOODWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WOODWARD
Last Name:CANN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 SILAS CREEK PARKWAY
Mailing Address - Street 2:NOVANT HEALTH INPATIENT CARE SPECIALISTS OF FORSYTH
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-718-8383
Mailing Address - Fax:336-718-9622
Practice Address - Street 1:3333 SILAS CREEK PARKWAY
Practice Address - Street 2:NOVANT HEALTH INPATIENT CARE SPECIALISTS OF FORSYTH
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-718-8383
Practice Address - Fax:336-718-9622
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC17321207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891203JMedicaid
AC6948080OtherFEDERAL DEA
NC2271400Medicare ID - Type Unspecified
NC891203JMedicaid