Individual
JOHANNA REGINA JORIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
2085B0100X
Body Imaging Physician
Primary
30376
NC
2085U0001X
Diagnostic Ultrasound Physician
30376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18523
PARTNERS
NC
05
—
2005641000
—
WV
01
—
4383718
AETNA
—
01
—
47506
BCBS
NC
01
—
67040
MEDCOST
NC
05
—
7215231
—
VA
05
—
8947506
—
NC
05
—
Q30376
—
SC
Enumeration date
12/09/2005
Last updated
10/08/2010
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