IndividualActive
Charles Susong, MD
NPI 1851402556 · Dermatology Physician · Hixson, TN
Provider details
- NPI number
- 1851402556
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD0000010042 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2051 Hamill Rd
Ste 301a
Hixson, TN 37343
Phone: (423) 870-3376
Fax: (423) 877-1387
Approximate (ZIP-level) locationGet directions
Mailing address
8115 Island Point Dr
Harrison, TN 37341
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.