Individual
CATHERINE MANNON DEFFENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8300
(615) 322-3000
Mailing address
719 THOMPSON LN STE 20400, NASHVILLE, TN 37204-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63222
TN
208000000X
Pediatrics Physician
63222
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
05/17/2021
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