Provider Demographics
NPI:1790172765
Name:MATTHEWS, JULIANA J (MD)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:J
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:222 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1852
Mailing Address - Country:US
Mailing Address - Phone:629-255-3486
Mailing Address - Fax:629-255-3075
Practice Address - Street 1:4230 HARDING PIKE STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4903
Practice Address - Country:US
Practice Address - Phone:629-255-2262
Practice Address - Fax:629-255-4207
Is Sole Proprietor?:No
Enumeration Date:2015-04-17
Last Update Date:2022-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN56276207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN56276OtherTN MEDICAL LICENSE