Provider Demographics
NPI:1083805949
Name:LLOYD, SPENCER B (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:B
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2648 FLAIR KNOLL DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-1318
Mailing Address - Country:US
Mailing Address - Phone:971-275-7221
Mailing Address - Fax:
Practice Address - Street 1:2648 FLAIR KNOLL DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1318
Practice Address - Country:US
Practice Address - Phone:971-275-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72880207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease