Individual
ADAM M SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 DALLAS HWY STE 301, VILLA RICA, GA 30180
(770) 456-0211
Mailing address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
073845
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
073845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166316I
—
GA
05
—
003166316J
—
GA
05
—
003166316K
—
GA
Enumeration date
06/10/2010
Last updated
05/01/2019
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