Faulkner, Robert Lee

Faulkner, Robert Lee is an sole proprietor health care provider with primary practice located at 4186 Mill St , Covington GA 30014. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Faulkner, Robert Lee can be contacted via phone (770) 786-5345.

Contact Information

Primary practice address
4186 Mill St Covington GA 30014
Phone: (770) 786-5345
Fax: (770) 786-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 010715 Georgia

Profile Details

NPI number 1780695148
LBN Legal business name Faulkner, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Mar 7th, 2023 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780695148 NPPES
Georgia Other 010715 STATE LICENSE
Georgia MEDICAID 00010458A STATE LICENSE

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