IndividualActive
Jason Susong, MD
NPI 1235302787 · MOHS-Micrographic Surgery Physician · Chattanooga, TN
Provider details
- NPI number
- 1235302787
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 46240 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2158 Northgate Park Ln Ste 106
Chattanooga, TN 37415-6911
Phone: (423) 888-3376
Approximate (ZIP-level) locationGet directions
Mailing address
2158 Northgate Park Ln Ste 106
Chattanooga, TN 37415-6911
Registry dates
- Enumerated
- 2008-04-04
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.