| Sutherland Family Practice Inc. | |
|
5609 Claiborne Rd Sutherland VA 23885-9303 | |
| (804) 265-5211 | |
| (804) 265-2707 |
| Full Name | Sutherland Family Practice Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5609 Claiborne Rd, Sutherland, Virginia |
| Authorized Official Name and Position | Eileen H Simmons (OFFICE MANAGER) |
| Authorized Official Contact | 8042655211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutherland Family Practice Inc. 5609 Claiborne Rd Sutherland VA 23885-9303 Ph: (804) 265-5211 | Sutherland Family Practice Inc. 5609 Claiborne Rd Sutherland VA 23885-9303 Ph: (804) 265-5211 |
| NPI Number | 1699869487 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/18/2007 |
| Medicare PECOS PAC ID | 1153309703 |
|---|---|
| Medicare Enrollment ID | O20040709001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699869487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William J Phipps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285601260 PECOS PAC ID: 9032254560 Enrollment ID: I20100317000911 |
| Provider Name | Kirby D Southall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750358750 PECOS PAC ID: 1456496280 Enrollment ID: I20100913000546 |
| Provider Name | Sharon C Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580587 PECOS PAC ID: 8022086438 Enrollment ID: I20120426000261 |