1902012206 NPI number — DR. JASON ROBERT HEFNER MD

Table of content: DR. JASON ROBERT HEFNER MD (NPI 1902012206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902012206 NPI number — DR. JASON ROBERT HEFNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEFNER
Provider First Name:
JASON
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902012206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
684 SIXES RD
Provider Second Line Business Mailing Address:
125
Provider Business Mailing Address City Name:
HOLLY SPRINGS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-426-5450
Provider Business Mailing Address Fax Number:
678-426-5454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
684 SIXES RD
Provider Second Line Business Practice Location Address:
SUITE 125
Provider Business Practice Location Address City Name:
HOLLY SPRINGS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30115-8721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-426-5450
Provider Business Practice Location Address Fax Number:
678-426-5454
Provider Enumeration Date:
05/15/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  061444 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208000000X , with the licence number: 061444 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)