Individual
DR. ROBERT LEE FAULKNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4186 MILL ST, COVINGTON, GA 30014
(770) 786-5345
(770) 786-5348
Mailing address
4186 MILL ST, COVINGTON, GA 30014
(770) 786-5345
(770) 786-5348
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
010715
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010458A
—
GA
01
—
010715
STATE LICENSE
GA
Enumeration date
08/11/2006
Last updated
03/07/2023
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