| NPI | 1750059622 |
|---|---|
| Doing Business As | CHATTANOOGA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JASON SUSONG Owner 423-888-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207N00000X Dermatology | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-01-26 |