MEDICARE: WHITNEY MICHELLE LANKFORD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	87823	GA

General Provider Information

NPI Number	:	1275928780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY MICHELLE LANKFORD M.D.

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE STE 1470
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2242
Country	:	US
Telephone Number	:	404-589-2670
Fax Number	:	404-589-2671

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE STE 1470
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2242
Country	:	US
Telephone Number	:	404-589-2670
Fax Number	:	404-589-2671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	05/02/2022

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