Individual
DR. JOSEPHINE MOKONOGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, DEPARTMENT OF PSYCHIATRY, WINSTON SALEM, NC 27157-0001
(336) 716-4551
Mailing address
501 W 14TH ST, STE 1E40, WILMINGTON, DE 19801-1013
(302) 320-2100
(302) 320-2121
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
C1-0013564
DE
2084P0015X
Psychosomatic Medicine Physician
MD 442619
PA
2084P0800X
Psychiatry Physician
Primary
C1-0013564
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275791451
PARTNERS
NC
05
—
1275791451
—
NC
01
—
1275791541
SANDHILLS
NC
01
—
185TR
BCBS
NC
01
—
277901
MEDCOST
NC
01
—
3385556
UNITED HEALTHCARE
NC
01
—
9695720
AETNA
NC
01
—
Q0005M
SC MEDICAID
NC
Enumeration date
05/25/2008
Last updated
02/14/2020
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