Provider Demographics
NPI:1386870574
Name:SUTHERLAND, AMANDA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:KAY
Last Name:SUTHERLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOSPITAL CENTER BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-8701
Mailing Address - Country:US
Mailing Address - Phone:843-341-9700
Mailing Address - Fax:843-341-3282
Practice Address - Street 1:8 HOSPITAL CENTER BLVD STE 150
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-8701
Practice Address - Country:US
Practice Address - Phone:843-341-9700
Practice Address - Fax:843-341-3282
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SC39060207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program