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Individual

DR. GERALD W. DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4038 THOMAS NELSON HWY, ARRINGTON, VA 22922
(434) 263-4000
(434) 263-4160
Mailing address
4038 THOMAS NELSON HWY, ARRINGTON, VA 22922
(434) 263-4000
(434) 263-4160

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101019845
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010123879
VA PREMIERE HELTH PLAN
05
010123879
VA
01
12-00465
UNITED HEALTHCARE
01
1485127009
CIGNA
01
154019
ANTHEM
01
2177792
AETNA HMO
01
249647
SOUTHERN HEALTH
01
4305649
AETNA TRADITIONAL
01
53854
SENTARA/OPTIMA
01
54-1778786
FIRST HEALTH/MAIL HANDLER
01
54-1778786-032
CHAMPUS/TRICARE
01
8128043
MAMSI/MDIPA
Enumeration date
05/24/2006
Last updated
05/28/2014
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