Provider Demographics
NPI:1275928780
Name:LANKFORD, WHITNEY MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MICHELLE
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1470
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2242
Mailing Address - Country:US
Mailing Address - Phone:404-589-2670
Mailing Address - Fax:404-589-2671
Practice Address - Street 1:550 PEACHTREE ST NE STE 1470
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2242
Practice Address - Country:US
Practice Address - Phone:404-589-2670
Practice Address - Fax:404-589-2671
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA87823207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program