Individual
DR. SCOT STANLEY VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 638-7057
(423) 638-5824
Mailing address
PO BOX 11167, KNOXVILLE, TN 37939-1167
(865) 584-7376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
039973
GA
2085R0202X
Diagnostic Radiology Physician
Primary
26007
TN
2085R0202X
Diagnostic Radiology Physician
9600061
NC
2085R0202X
Diagnostic Radiology Physician
ME88145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000735
—
TN
05
—
891015V
—
NC
Enumeration date
07/24/2006
Last updated
10/13/2016
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