Individual
MICHAEL STEPHEN VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15110 JOHN J DELANEY DR, SUITE 200, CHARLOTTE, NC 28277-3545
(704) 302-8100
(704) 302-8101
Mailing address
PO BOX 60063, CHARLOTTE, NC 28260-0063
(704) 302-8100
(704) 302-8101
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
28362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985031
—
NC
Enumeration date
08/01/2006
Last updated
03/31/2011
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