OrganizationActive
Chattanooga Dermatology PLLC
NPI 1750059622 · MOHS-Micrographic Surgery Physician · Chattanooga, TN
Provider details
- NPI number
- 1750059622
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jason Susong, Owner
Practice location
2158 Northgate Park Ln Ste 106
Chattanooga, TN 37415-6911
Phone: (423) 888-3376
Fax: (423) 870-1480
Mailing address
2158 Northgate Park Ln Ste 106
Chattanooga, TN 37415-6911
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.