Search › North Carolina › 207RG0100X
John Provenza, MD
NPI 1508399346 · on the registry since 2017
Practice
- Address
- Medical Center Boulevard
Winston Salem, NC 27157 - Phone
- (336) 713-7311
- Organisation at this address
- Wake Air Care Llc
Baptist Hospital Home Rx
Raymond Garrison Dds Pa - Uda
Wake Forest Health Network Llc
North Carolina Baptist HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,985
Additional practice sites
- 625 19th St S, Birmingham, AL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina