Individual
DR. JASON RODNEY SUSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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