| NPI | 1568032233 |
|---|---|
| Doing Business As | SUSONG DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JASON SUSONG CEO 423-888-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |