Individual
ROBERT FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 399-2190
Mailing address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 399-2190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35040837F
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
201200924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138500
ANTHEM
OH
05
—
0447412
—
OH
01
—
340714755CC
SUMMACARE
OH
01
—
341779226002
MEDICAL MUTUAL OH 1 OF 2
OH
01
—
341779226003
MED MUTUAL OH 2 OF 2
OH
01
—
61641
UNITED HEALTHCARE
OH
01
—
930023431
RR MEDICARE
OH
Enumeration date
05/26/2006
Last updated
01/16/2026
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