Provider Demographics
NPI:1730193046
Name:GEDDES, LLOYD GEORGE JR (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:GEORGE
Last Name:GEDDES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 89277
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-0277
Mailing Address - Country:US
Mailing Address - Phone:404-272-5072
Mailing Address - Fax:404-501-6190
Practice Address - Street 1:2665 N DECATUR RD
Practice Address - Street 2:SUITE 150
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6149
Practice Address - Country:US
Practice Address - Phone:404-501-5180
Practice Address - Fax:404-501-6180
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2011-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA045798207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000857447DMedicaid
GAG98378Medicare UPIN