Individual
CHARLES RODNEY SUSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
MD0000010042
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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