Most Relevant Information
Provider Data
| NPI Number: | 1003254863 |
| Provider Name: | FALLON E LOTSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 006822 |
Most Important Dates
| Enumeration Date: | 06/13/2013 |
| Last Updated: | 03/08/2016 |
Provider Practice Location
2300 13TH ST
SUITE A
COLUMBUS
GA
319062596
Practice Location Phone/Fax
| Phone: | 7062437010 |
| Fax: | 7052437019 |
Provider Mailing Location
2300 13TH ST
SUITE A
COLUMBUS
GA
319062596
Provider Mailing Phone/Fax
| Phone: | 7062437010 |
| Fax: | 7052437019 |