Individual
DR. DAN A LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 QUARTERMAN ST, WAYCROSS, GA 31501-3547
(912) 287-9140
(912) 287-1059
Mailing address
218 QUARTERMAN ST, WAYCROSS, GA 31501-5358
(912) 287-9140
(912) 287-1059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000203717A
—
GA
Enumeration date
08/31/2006
Last updated
03/17/2018
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