NPI 1235302787
Jason Rodney Susong, MD
Practice location
- Address
- 2158 Northgate Park Ln STE 106, Chattanooga, TN 37415-6911
- Phone
- (423) 888-3376
Registered specialties (3)
MOHS-Micrographic Surgery Physician
Primary
Dermatology Physician
Procedural Dermatology Physician
Registry record
- NPI
- 1235302787
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Apr 2008
- Record last updated
- 26 Jan 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.