Individual
CARISA MARICE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-00120
NC
2080A0000X
Pediatric Adolescent Medicine Physician
2007-00120
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2007-00120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639194764
—
NC
05
—
5906365
—
NC
05
—
N0012B
—
SC
Enumeration date
07/12/2006
Last updated
03/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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