Healthcare Provider Details

I. General information

NPI: 1891445995
Provider Name (Legal Business Name): DANA ROBERTSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400C OLD MILTON PKWY # 270
ALPHARETTA GA
30005-4438
US

IV. Provider business mailing address

3400C OLD MILTON PKWY STE 270
ALPHARETTA GA
30005-4438
US

V. Phone/Fax

Practice location:
  • Phone: 404-497-1350
  • Fax:
Mailing address:
  • Phone: 404-497-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number114331
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: