Organization
C RODNEY SUSONG MD PC
Active
Organization
C RODNEY SUSONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RODNEY SUSONG MD (PRESIDENT)
(423) 870-3376
Entity
Organization
Contact information
Practice address
2051 HAMILL RD, STE 301A, HIXSON, TN 37343
(423) 870-3376
(423) 877-1387
Mailing address
8115 ISLAND POINT DR, HARRISON, TN 37341
(423) 344-5029
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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