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Individual

DR. STEPHEN T. VERMILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
853 N CHURCH ST, SUITE # 610, SPARTANBURG, SC 29303
(864) 560-1600
(864) 560-1669
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
20-17496
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174965
SC
05
5903676
NC
01
G458004746
MEDICARE PIN
SC
01
G485003365
MEDICARE PIN
SC
Enumeration date
03/16/2006
Last updated
01/12/2021
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