Individual
YONG SUK SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1405 W BADDOUR PKWY, STE 104, LEBANON, TN 37087-2674
(615) 453-5440
(615) 453-5441
Mailing address
1405 W BADDOUR PKWY STE 104, LEBANON, TN 37087-2674
(615) 453-5440
(615) 453-5441
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM425
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3352060
—
TN
Enumeration date
08/16/2005
Last updated
04/24/2025
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