Provider Demographics
NPI:1831132984
Name:HOUSE, SUZAN EGELI (MD)
Entity Type:Individual
Prefix:
First Name:SUZAN
Middle Name:EGELI
Last Name:HOUSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6145 SHALLOWFORD ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-893-6890
Mailing Address - Fax:423-648-1115
Practice Address - Street 1:6145 SHALLOWFORD ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421
Practice Address - Country:US
Practice Address - Phone:423-893-6890
Practice Address - Fax:423-648-1115
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-09-20
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Provider Licenses
StateLicense IDTaxonomies
TN41102207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology