Individual
MARK ALAN SUTHERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 EMMET ST S, CHARLOTTESVILLE, VA 22903
(434) 924-6184
Mailing address
210 EMMET ST S., CHARLOTTESVILLE, VA 22903
(434) 924-6184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0000172
VT
Other
Enumeration date
03/24/2010
Last updated
09/05/2014
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