Individual
WYNNE KENDRA LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 S TALLAHASSEE ST STE 4, HAZLEHURST, GA 31539-6136
(912) 699-6570
(912) 699-6572
Mailing address
4 S TALLAHASSEE ST STE 4, HAZLEHURST, GA 31539-6136
(912) 699-6570
(912) 354-7569
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003905
GA
Other
Enumeration date
01/23/2007
Last updated
09/25/2023
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