Souther, Susan

Souther, Susan is an individual health care provider with primary practice located at 1934 E Lamar Alexander Pkwy , Maryville TN 37804-5284. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Souther, Susan can be contacted via phone (865) 331-4510.

Contact Information

Primary practice address
1934 E Lamar Alexander Pkwy Maryville TN 37804-5284
Phone: (865) 331-4510
Fax: (865) 374-2128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15704 Tennessee

Profile Details

NPI number 1861482077
LBN Legal business name Souther, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated May 15th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861482077 NPPES
Tennessee MEDICAID 3015605

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