Provider Demographics
NPI:1790348456
Name:WHITSON, CAITLYN MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:MARIE
Last Name:WHITSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 FARRINGTON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8154
Mailing Address - Country:US
Mailing Address - Phone:919-493-7980
Mailing Address - Fax:919-493-7985
Practice Address - Street 1:6015 FARRINGTON RD STE 103
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8154
Practice Address - Country:US
Practice Address - Phone:919-493-7980
Practice Address - Fax:919-493-7985
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program