NPI 1750059622

Chattanooga Dermatology PLLC

Organisation MOHS-Micrographic Surgery 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: Owner
Phone: (423) 888-3376

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Tennessee →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1750059622
Entity type: Organization
NPI issued: 3 Sep 2021
Record last updated: 10 Jul 2024

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.