Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alan Lawrence Russell Jasper, DOMBA

Individual provider Emergency Medicine Physician · NPI 1124371604

Dr. Alan Lawrence Russell Jasper, DOMBA is an Emergency Medicine Physician in Warner Robins, Georgia. Practices as a sole proprietor. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1601 Watson Blvd Medical Education
Warner Robins, GA 31093-3431
Phone: (478) 922-4281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5567 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2825 (TN)

Record details

NPI number1124371604
Entity typeIndividual (Type 1)
GenderMale
Credentials DOMBA
Sole proprietorYes
NPI enumeratedOctober 20, 2012
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

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