Individual
DR. JASON RODNEY SUSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2158 NORTHGATE PARK LN STE 106, CHATTANOOGA, TN 37415-6911
(423) 888-3376
Mailing address
2158 NORTHGATE PARK LN STE 106, CHATTANOOGA, TN 37415-6911
(423) 888-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
46240
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
46240
TN
207NS0135X
Procedural Dermatology Physician
46240
TN
Other
Enumeration date
04/04/2008
Last updated
01/26/2024
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