Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT LEE CARLSON JR., M.D.
Active Sole ProprietorDR. ROBERT LEE CARLSON JR., M.D. is a 207PE0005X healthcare provider located in KENNESAW, Georgia. NPI 1710030002 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · KENNESAW, GA
Registration Details
- NPI Number
- 1710030002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.599634511616 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
043890 (GA)043890 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 LEGACY PARK BLVD NWSUITE C-100KENNESAW, GA, 301447412Browse GA providers · Browse ZIP 30144
- Phone
- 6787976277
- Fax
- 6787976278
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- 207PE0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.