Individual
SUSAN SOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1934 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5284
(865) 331-4510
(865) 374-2128
Mailing address
1934 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5284
(865) 331-4510
(865) 374-2128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015605
—
TN
Enumeration date
10/27/2005
Last updated
05/15/2026
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