Individual
DR. MICHAEL E. DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928430
—
NC
Enumeration date
03/26/2007
Last updated
05/03/2017
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