Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAITLIN WADDLE, MS, RDN, LD
Active Sole ProprietorPediatric Nutrition · SMYRNA, GA
Registration Details
- NPI Number
- 1205218872
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2015 (10.840997859388 yrs)
- Last Updated
- Jun 12, 2023
- Licenses
-
LD004395 (GA)LD004395 (GA)LD004395 (GU)LD004395 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4045 ORCHARD RD SE STE 500SMYRNA, GA, 300804900Browse GA providers · Browse ZIP 30080
- Phone
- 4046543906
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Nutritionist
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.