Individual
DR. ROBERT LEE CARLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 LEGACY PARK BLVD NW, SUITE C-100, KENNESAW, GA 30144-7412
(678) 797-6277
(678) 797-6278
Mailing address
3970 BELLINGRATH MAIN NW, KENNESAW, GA 30144-6020
(770) 794-1157
(678) 797-6278
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
043890
GA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
043890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770459C
—
GA
Enumeration date
01/19/2007
Last updated
09/11/2025
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