Provider Demographics
NPI:1215916754
Name:MATTESON, KARLA J (PHD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:J
Last Name:MATTESON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1930 ALCOA HWY
Mailing Address - Street 2:SUITE 435
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1500
Mailing Address - Country:US
Mailing Address - Phone:865-544-9449
Mailing Address - Fax:865-544-8580
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:SUITE 435
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-544-9449
Practice Address - Fax:865-544-8580
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNML0000013128207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics