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NPI Code Detail

MEDICARE: DR. THOMAS M LOTT JR. M.D.

MEDICARE: DR. THOMAS M LOTT JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician033388GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255312146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS M LOTT JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 1524
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-1524
Country : US
Telephone Number : 800-841-4236
Fax Number : 706-596-6723
Provider Business Practice Location Address
First Line : 2501 N PATTERSON ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31602-1735
Country : US
Telephone Number : 229-433-1000
Fax Number : 706-596-6723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/30/2020

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