Provider Demographics
NPI:1699270256
Name:IZZY HEALTH, PLLC
Entity type:Organization
Organization Name:IZZY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:IZEDIUNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-549-8334
Mailing Address - Street 1:600 GREEN VALLEY RD STE 208
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7722
Mailing Address - Country:US
Mailing Address - Phone:336-549-8334
Mailing Address - Fax:336-860-1981
Practice Address - Street 1:600 GREEN VALLEY RD STE 208
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7722
Practice Address - Country:US
Practice Address - Phone:336-549-8334
Practice Address - Fax:336-860-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty