Dr. Jason Rodney Susong
Dermatologist MOHS-Micrographic Surgeon
2158 Northgate Park Ln Ste 106
Chattanooga
, Tennessee 37415-6911
Dr. Jason Rodney Susong
Dermatologist MOHS-Micrographic Surgeon
2158 Northgate Park Ln Ste 106
Chattanooga
, Tennessee 37415-6911
(423) 888-3376
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason Rodney Susong
- 2158 Northgate Park Ln Ste 106
- Chattanooga, TN
- Zip : 37415-6911
- Phone : (423) 888-3376
Second Address
- Dr. Jason Rodney Susong
- 2158 Northgate Park Ln Ste 106
- Chattanooga, TN
- Zip : 37415-6911
- Phone : (423) 888-3376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 46240 | TN |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 46240 | TN |
National Provider Identifier
| NPI | 1235302787 |
|---|---|
| Provider Name | Dr. Jason Rodney Susong |
| First Address | Chattanooga, TN 37415-6911 |
| Second Address | Chattanooga, TN 37415-6911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2008 |
| Last Update Date | 25/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.