NPI Code Details Logo

NPI 1639480122

NPI 1639480122 : JASON AARON UNGER MD : FORT GORDON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639480122
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JASON AARON UNGER MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2010
-----------------------------------------------------
    Last Update Date     |    12/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    300 W HOSPITAL RD 
-----------------------------------------------------
    City                 |    FORT GORDON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30905-5741
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-691-6273
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    300 W HOSPITAL RD 
-----------------------------------------------------
    City                 |    FORT GORDON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30905-5741
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-691-6273
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    0101250229
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    D92080
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.