Provider Demographics
NPI:1225026388
Name:LLOYD, PATRICIA A (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 941986
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31141-0986
Mailing Address - Country:US
Mailing Address - Phone:404-659-4335
Mailing Address - Fax:404-525-6177
Practice Address - Street 1:340 BOULEVARD NE
Practice Address - Street 2:SUITE 441
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1285
Practice Address - Country:US
Practice Address - Phone:404-659-4335
Practice Address - Fax:404-525-6177
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN011670207R00000X
GA21255207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00238752AMedicaid
GA00238752AMedicaid