Individual
JADE DENICE LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 E JARMAN ST, HAZLEHURST, GA 31539-6130
(912) 375-3646
(912) 375-5278
Mailing address
1103 HAMPTON RD, DOUGLAS, GA 31533-7914
(912) 381-9341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026084
GA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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