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Individual
JOHN MARK VERMILLION
Active
Individual
JOHN MARK VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
00026765
AL
2086S0127X
Trauma Surgery Physician
K7935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913011
—
AL
01
—
051007174
BLUE CROSS BLUE SHIELD
AL
05
—
051556225
—
AL
01
—
1881881266
MSS NPI
AL
01
—
20-3204949
MONTGOMERY SURGICAL SPEC
AL
01
—
51001703
BC/BS PROVIDER #
AL
01
—
510I020007
MEDICARE PROVIDER
AL
01
—
P00656756
MEDICARE RAILROAD
AL
Enumeration date
10/24/2006
Last updated
09/08/2023
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