Carlson, Robert Lee

Carlson, Robert Lee is an sole proprietor health care provider with primary practice located at 3900 Legacy Park Blvd Nw Suite C-100, Kennesaw GA 30144-7412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Carlson, Robert Lee can be contacted via phone (678) 797-6277.

Contact Information

Primary practice address
3900 Legacy Park Blvd Nw Suite C-100 Kennesaw GA 30144-7412
Phone: (678) 797-6277
Fax: (678) 797-6278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 043890 Georgia
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 043890 Georgia

Profile Details

NPI number 1710030002
LBN Legal business name Carlson, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 years 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 1710030002 NPPES
Georgia MEDICAID 00770459C

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