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Contact Information

COREY DEWITT, MD
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA20176-1707
 Phone: 703-723-5700
 Fax: 703-723-5778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for COREY DEWITT · (Male)

NPI Number 1417342890
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2015
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D91604
  • ME License # MD23389
  • VA License # 0101275415
  • VA Medicaid 1417342890
  • VA Medicaid 30017465030001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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