Individual
ASHLEY SECREST SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8080
(937) 619-4150
Mailing address
5 EXECUTIVE CIR, GEORGIA EMERGENCY ASSOCIATES, SAVANNAH, GA 31406-3345
(912) 355-2400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33044
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07806
—
LA
Enumeration date
05/24/2007
Last updated
01/03/2013
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