Individual
MRS. FALLON E LOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 13TH ST, SUITE A, COLUMBUS, GA 31906-2596
(706) 243-7010
(705) 243-7019
Mailing address
2300 13TH ST, SUITE A, COLUMBUS, GA 31906-2596
(706) 243-7010
(705) 243-7019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006822
GA
Other
Enumeration date
06/13/2013
Last updated
03/08/2016
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