Provider Demographics
NPI:1912431073
Name:CARLILE, CATHERINE RUTH-AN (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:RUTH-AN
Last Name:CARLILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VANDERBILT ORTHOPAEDIC SURGERY RESIDENCY
Mailing Address - Street 2:MEDICAL CENTER EAST SOUTH TOWER, STE 4200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-936-0100
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT ORTHOPEDIC SURGERY
Practice Address - Street 2:MEDICAL CENTER EAST, SOUTH TOWER, STE 4200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-16
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91761207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery