Provider Demographics
NPI:1316300569
Name:ANDERSON, CAITLIN ROBERSON (MD, MPH)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ROBERSON
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 HOWELL MILL RD NW STE 175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-0924
Mailing Address - Country:US
Mailing Address - Phone:404-607-1777
Mailing Address - Fax:404-607-1799
Practice Address - Street 1:1800 HOWELL MILL RD NW STE 175
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-0924
Practice Address - Country:US
Practice Address - Phone:404-607-1777
Practice Address - Fax:404-607-1799
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA82097207R00000X
GA082097208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine