# ELAINE MARIE SUNDERLIN

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

## Provider details

- **NPI number:** 1780844621
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2011-00851 | NC | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35621 | SC | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 148716 | NC | — |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 09/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 356215 | — | SC |
| 01 | — | P01226638 | RAILROAD MEDICARE | SC |
| 01 | — | SC14666066 | MEDICARE PIN | SC |