Provider Demographics
NPI:1508003815
Name:RILEY, CARA (DO)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:RILEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1255 E COLLEGE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-4515
Mailing Address - Country:US
Mailing Address - Phone:931-424-9388
Mailing Address - Fax:931-424-9208
Practice Address - Street 1:1255 E COLLEGE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4515
Practice Address - Country:US
Practice Address - Phone:931-424-9388
Practice Address - Fax:931-424-9208
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO217370207Q00000X
TN2680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine