Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chattanooga Dermatology PLLC

Organization Dermatology Physician · NPI 1750059622

Chattanooga Dermatology PLLC is a Dermatology Physician in Chattanooga, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2158 Northgate Park Ln Ste 106
Chattanooga, TN 37415-6911
Phone: (423) 888-3376
Fax: (423) 870-1480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1750059622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Susong — Owner · (423) 888-3376
Other names Chattanooga Mohs Surgery
NPI enumeratedSeptember 3, 2021
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address2158 Northgate Park Ln Ste 106, Chattanooga, TN 37415-6911

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