Provider Demographics
NPI:1356555718
Name:BITKOWSKI, JASON ADAM (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ADAM
Last Name:BITKOWSKI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7823 SPIVEY STATION BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2886
Mailing Address - Country:US
Mailing Address - Phone:770-507-5055
Mailing Address - Fax:770-507-5880
Practice Address - Street 1:7823 SPIVEY STATION BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2886
Practice Address - Country:US
Practice Address - Phone:770-507-5055
Practice Address - Fax:770-507-5880
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2012-08-01
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Provider Licenses
StateLicense IDTaxonomies
MI5101015792208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery