Individual
DR. KRISTAL ANNE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
67491
TN
2080P0205X
Pediatric Endocrinology Physician
52116
SC
2080P0205X
Pediatric Endocrinology Physician
Primary
67491
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
01/12/2024
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