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Individual
DR. MINOR C VERNON
Active
Individual
DR. MINOR C VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00249213C
—
GA
01
—
1200048
UNITED HEALTHCARE NUMBER
GA
01
—
4417613
AETNA PPO NUMBER
GA
01
—
572632
BLUE CROSS BLUE SHIELD NO
GA
Enumeration date
08/16/2005
Last updated
07/13/2026
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