Sutherland, Clinton Hale

Sutherland, Clinton Hale is an individual health care provider with primary practice located at 391 Falls Dr Nw , Abingdon VA 24210-8093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sutherland, Clinton Hale can be contacted via phone (276) 628-4406.

Contact Information

Primary practice address
391 Falls Dr Nw Abingdon VA 24210-8093
Phone: (276) 628-4406
Fax: (276) 628-4906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101049088 Virginia

Profile Details

NPI number 1487622320
LBN Legal business name Sutherland, Clinton Hale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 9th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487622320 NPPES
Virginia MEDICAID 006076661

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