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NPI Code Detail

MEDICARE: DR. JASON JON FRITZ PT, DPT, PHD

MEDICARE: DR. JASON JON FRITZ PT, DPT, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT013065GA

General Provider Information

NPI Number : 1578088126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON JON FRITZ PT, DPT, PHD
Provider Business Mailing Address
First Line : 2902 NORTHBROOK DR
Second Line :
City : ATLANTA
State : GA
Zip : 30340-4908
Country : US
Telephone Number : 404-326-1886
Fax Number :
Provider Business Practice Location Address
First Line : 3200 DOWNWOOD CIR NW STE 350
Second Line :
City : ATLANTA
State : GA
Zip : 30327-1611
Country : US
Telephone Number : 404-355-2913
Fax Number : 404-351-1684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 10/18/2021

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