Healthcare Provider Details

I. General information

NPI: 1467071225
Provider Name (Legal Business Name): MARIA ANTONIA D'IORIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CHARLOIS BLVD
WINSTON SALEM NC
27103-1522
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-765-5470
  • Fax: 336-499-5428
Mailing address:
  • Phone: 336-765-5470
  • Fax: 336-499-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2024-00410
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: