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

Dr. Jerry Joseph Fasoldt, MD

Individual provider Family Medicine Physician · NPI 1245394873

Dr. Jerry Joseph Fasoldt, MD is a Family Medicine Physician in Fort Stewart, Georgia. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01064093A (IN)

Record details

NPI number1245394873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESMarch 3, 2017

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