Dr. Robert Lee Carlson Jr., M.D.
Emergency Medicine, Emergency Medical Services in Kennesaw, GA. Individual provider (NPI-1).
NPI number1710030002
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1710030002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Lee Carlson Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 043890 | GA | |
| 207PE0005X | Emergency Medicine, Undersea and Hyperbaric Medicine | 043890 | GA |
Practice location
3900 Legacy Park Blvd NwSuite C-100
Kennesaw, GA 30144-7412
Phone 678-797-6277 · Fax 678-797-6278
Mailing address
3970 Bellingrath Main NwKennesaw, GA 30144-6020
Phone 770-794-1157 · Fax 678-797-6278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emergency Medical Services (Emergency Medicine) Physician providers in Kennesaw, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.