NPI 1568032233

Susong Dermatology PLLC

Organisation Dermatology Physician Chattanooga, TN

Practice location

Address: 2158 Northgate Park Ln STE 106, Chattanooga, TN 37415-6911
Phone: (423) 888-3376
Fax: (423) 870-1480

Authorised official

Name: Jason Susong
Title: Ceo
Phone: (423) 888-3376

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Tennessee →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1568032233
Entity type: Organization
NPI issued: 25 Jun 2021
Record last updated: 25 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.