Provider Demographics
NPI:1336106368
Name:WOMACK, CATHERINE ROBILIO (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ROBILIO
Last Name:WOMACK
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT # 457
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-758-7888
Mailing Address - Fax:901-266-6445
Practice Address - Street 1:57 GERMANTOWN CT
Practice Address - Street 2:SUITE 100
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7273
Practice Address - Country:US
Practice Address - Phone:901-758-7888
Practice Address - Fax:901-266-6445
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2021-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN30211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ002428Medicaid
AR138874001Medicaid
TN4355721OtherBCBS
TNP01294153OtherRAILROAD MEDICARE
MS00119457Medicaid
TNQ002428Medicaid
TN4355721OtherBCBS