Individual
LLOYD STANLEY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 LEXINGTON AVE, SAVANNAH, GA 31404
(912) 350-7171
(912) 350-3454
Mailing address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013215
GA
207RC0000X
Cardiovascular Disease Physician
013215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000069935J
—
GA
05
—
000069935K
—
GA
01
—
10065589
AMERIGROUP
GA
05
—
150274
—
SC
01
—
349775
WELLCARE
GA
01
—
P00649656
RR MEDICARE
GA
Enumeration date
06/21/2006
Last updated
08/03/2018
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