Individual
JOHN THOMAS VERRILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 MEMORIAL DRIVE, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-1247
Mailing address
155 MEMORIAL DRIVE, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-1247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2024-01049
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00046021
WA
207RP1001X
Pulmonary Disease Physician
2024-01049
NC
207RP1001X
Pulmonary Disease Physician
MD00046021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013366
—
WA
01
—
P00351336
RAILROAD MEDICARE
WA
Enumeration date
05/05/2006
Last updated
01/06/2025
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