# THE SUTHERLAND CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992800635
- **Authorized official:** DR. CHARLES SUTHERLAND DO (OWNER)
- **Authorized official phone:** (660) 327-6407

## Contact information

- **Practice address:** 221 N MAIN ST, PARIS, MO 65275-1328
- **Practice address phone:** (660) 327-6416
- **Practice address fax:** (660) 327-6217
- **Mailing address:** 221 N MAIN ST, PO BOX 206, PARIS, MO 65275-1328
- **Mailing address phone:** (660) 327-6416
- **Mailing address fax:** (660) 327-6217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 113731 | MO | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 01/05/2009