# DR. MARK JOSEPH SUTHERLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578554606
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 2006-00273 | NC | — |
| 207L00000X | Anesthesiology Physician | 92198 | SC | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 08/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2054049 | MEDICARE ID | NC |
| 01 | — | 2054049C | MEDICARE PTAN | NC |
| 01 | — | 2054049E | MEDICARE PTAN | NC |
| 05 | — | 5903826 | — | NC |
| 01 | — | P00843366 | MEDICARE RAILROAD | NC |