Individual
DR. EDGAR XAVIER CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614-8599
(919) 562-9410
(919) 562-2948
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
(919) 562-2948
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807J
BCBS
—
01
—
176036
WELLPATH
—
01
—
211980
ALLIANCE
—
01
—
2119980
MAMSI RALEIGH OFFICE
—
01
—
2652188
AETNA
—
01
—
3377199011
CIGNA
—
01
—
4119980
MAMSI DURHAM OFFICE
—
01
—
46486
PARTNERS
—
Enumeration date
11/22/2005
Last updated
03/17/2018
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