Individual
JASON KOTZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 237-1453
Mailing address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 327-1453
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
11/13/2025
Last updated
01/22/2026
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