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Individual

DR. CAROL F MATTISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, RN

Contact information

Practice address
6029 WALNUT GROVE RD STE 250, MEMPHIS, TN 38120-2112
(901) 685-3490
(901) 685-3499
Mailing address
475 COLONIAL RD, MEMPHIS, TN 38117-4016
(901) 568-3729

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
119039
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000028051
TN

Other

Enumeration date
10/24/2014
Last updated
11/08/2021
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