Susong Dermatology Pllc

LBN: Susong Dermatology Pllc
Susong Dermatology Pllc is an health care organization with primary practice located at 2158 Northgate Park Ln Ste 106 , Chattanooga TN 37415-6911. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Susong Dermatology Pllc can be contacted via phone (423) 888-3376, or through Susong, Jason via phone (423) 888-3376.

Contact Information

Primary practice address
2158 Northgate Park Ln Ste 106 Chattanooga TN 37415-6911
Phone: (423) 888-3376
Fax: (423) 870-1480
Website:
Map and Directions
Authorized official contact:
Name: Susong, Jason Doctor of Medicine (MD)
Phone: (423) 888-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1568032233
LBN Legal business name Susong Dermatology Pllc
DBA Doing business as
Authorized official Susong, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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