Sunderland, Adam M
Sunderland, Adam M is an individual health care provider with primary practice located at 705 Dallas Hwy Ste 301 , Villa Rica GA 30180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Sunderland, Adam M can be contacted via phone (770) 456-0211.Contact Information
Primary practice address
705 Dallas Hwy Ste 301
Villa Rica GA 30180
Phone: (770) 456-0211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 073845 | Georgia |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 073845 | Georgia |
Profile Details
| NPI number | 1609196872 |
|---|---|
| LBN Legal business name | Sunderland, Adam M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2010 |
| Last updated | May 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609196872 | NPPES |
| Georgia | MEDICAID | 003166316J | |
| Georgia | MEDICAID | 003166316K | |
| Georgia | MEDICAID | 003166316I |
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