person
Mrs. Kimberly Lott, PA-C
Medical Physician Assistant in Douglas, Georgia
NPI 1306802236

Kimberly Lott is a Medical Physician Assistant based in Douglas, GA and is specialized in Medical. Kimberly Lott practices in Douglas, GA and has the professional credentials of PA-C. The NPI Number for Kimberly Lott is 1306802236 and holds a License No. 004095 (Georgia).

The current practice location address for Kimberly Lott is 100 Doctors Dr Ste G, Douglas, GA and can be reached out via phone at 912-384-6186 and via fax at 912-384-6187.

Location: 100 Doctors Dr Ste G, Douglas, GA, 31534-1377
person
Provider Profile Details
NPI Number
1306802236
Provider Name
Kimberly Lott
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Doctors Dr Ste G, Douglas, GA, 31534-1377
Phone Number
912-384-6186
Fax Number
912-384-6187
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173328689C 05 GA
173328689A 05 GA
004095 01 GA MEDICAL LICENSE
173328689B 05 GA
institution
Provider Business Practice Location Address Details
Address
100 Doctors Dr Ste G
City
State
Zip
31533-2211
Phone Number
912-384-6186
Fax Number
912-384-6187
person
Provider Business Mailing Address Details
Address
100 Doctors Dr Ste G
City
State
Zip
31533-2211
Phone Number
912-384-6186
Fax Number
912-384-6187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004095 (Georgia)
Definition
Definition to come...
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