Individual
COREY DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19465 DEERFIELD AVENUE, SUITE 401, LEESBURG, VA 20176-1707
(703) 723-5700
(703) 723-5778
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 433-8643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD23389
ME
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101275415
VA
207ND0101X
MOHS-Micrographic Surgery Physician
D91604
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417342890
—
VA
05
—
30017465030001
—
VA
Enumeration date
04/01/2015
Last updated
11/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us