Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 72880 | GA |
NPI | 1083805949 |
---|---|
Provider Name | Spencer B Lloyd |
First Address | Atlanta, GA 30345-1318 |
Second Address | Atlanta, GA 30345-1318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 21/07/2015 |