Individual
DR. THOMAS M LOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 433-1000
(706) 596-6723
Mailing address
PO BOX 1524, COLUMBUS, GA 31902-1524
(800) 841-4236
(706) 596-6723
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
033388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000702666A
—
GA
Enumeration date
11/08/2005
Last updated
10/30/2020
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