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Individual

DR. JOSHUA PRICE SUTHERLAND JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
RT 460 RIVERSIDE DRIVE, GRUNDY, VA 24614
(276) 935-7515
(276) 935-4351
Mailing address
PO BOX 1030, GRUNDY, VA 24614-1030
(276) 935-7515
(276) 935-4351

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35890
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005651689
VA
01
014001
ANTHEM BLUE CROSS
VA
Enumeration date
08/30/2005
Last updated
12/17/2009
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