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General NPI Number Information
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NPI Number | 1548206717
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Entity Type | Individual
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Provider Name | JIMMY WALTER LOTT MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 970 LAKELAND DR SUITE 61
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City | JACKSON
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State | MS
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Zip | 39216-4635
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Country | US
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Telephone | 601-982-7850
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Fax | 601-718-5145
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Provider Business Mailing Address
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Address Line | 970 LAKELAND DR SUITE 61
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City | JACKSON
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State | MS
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Zip | 39216-4635
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Country | US
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Telephone | 601-982-7850
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Fax | 601-718-5145
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11383
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 11383
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License Number State | MS
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