| Doctor Name: | DR. ROBERT LEE FAULKNER |
| NPI Number: | 1780695148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 010715 |
| Business Practice Address: | 4186 Mill St Covington, GA - 30014 |
| Business Phone Number: | 7707865345 |
| Business Fax Number: | 7707865348 |
| Mailing Address: | 4186 Mill St, COVINGTON |
| State: | GA |
| Postal Code: | 30014 |
| Phone Number: | 7707865345 |
| Fax Number: | 7707865348 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 11/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 010715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |