Individual provider · Type 1 NPI

John Michael Provenza, MD

Gastroenterology Physician · Winston Salem, NC

NPI number 1508399346 Active

Practice location

Medical Center Boulevard
Winston Salem, NC 27157-1900

Call (336) 713-7311 Map

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other practice locations

  • 625 19th St S, Birmingham, AL 35233-1900 · (205) 934-9666

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100X2023-01626 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1508399346

John Michael Provenza, MD's National Provider Identifier is 1508399346, issued on Apr 8, 2017. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 12, 2023.