Individual
DR. JERRY ESMOND SUTHERLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 WALL ST, CULLMAN, AL 35055-6011
(256) 737-9109
(256) 737-9110
Mailing address
372 OAK TRCE, HOOVER, AL 35244-4576
(205) 733-8139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-698-TA-152
AL
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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