Basic Information
| Provider Information | |||||||||
| NPI: | 1730240433 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FEHR | ||||||||
| FirstName: | JASON | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 804 SCOTT NIXON MEMORIAL DR | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309072464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019428799 | ||||||||
| FaxNumber: | 3019338554 | ||||||||
| Practice Location | |||||||||
| Address1: | 2730 UNIVERSITY BLVD W STE 104 | ||||||||
| Address2: | |||||||||
| City: | WHEATON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209021979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019428799 | ||||||||
| FaxNumber: | 3019338554 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 01/09/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MT182539 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.