Provider Demographics
NPI:1992722821
Name:LLOYD, MICHAEL SHANE (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:SHANE
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 CLIFTON RD. NE
Mailing Address - Street 2:SUITE F424
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-712-4070
Mailing Address - Fax:404-712-4374
Practice Address - Street 1:1364 CLIFTON RD. NE
Practice Address - Street 2:SUITE F424
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-712-4070
Practice Address - Fax:404-712-4374
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA53064207R00000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine