Individual
DR. ALAN LAWRENCE RUSSELL JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O. MBA
Contact information
Practice address
1601 WATSON BLVD, MEDICAL EDUCATION, WARNER ROBINS, GA 31093-3431
(478) 922-4281
Mailing address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(478) 922-4281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2825
TN
207Q00000X
Family Medicine Physician
Primary
5567
GA
Other
Enumeration date
10/20/2012
Last updated
04/22/2021
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