Individual
DR. SOPHIA NICOLE BRANCAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2134
(336) 716-4717
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4039
(336) 716-6937
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2023-01677
NC
207V00000X
Obstetrics & Gynecology Physician
250341
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2023-01677
NC
207VM0101X
Maternal & Fetal Medicine Physician
250341
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
07/31/2023
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