Individual
CLINTON HALE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
391 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 628-4406
(276) 628-4906
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049088
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006076661
—
VA
Enumeration date
03/08/2006
Last updated
09/09/2016
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