Provider Demographics
NPI:1962157081
Name:LUCAS WHITE, CORTNEY YVONNE (CPC, CADS)
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:YVONNE
Last Name:LUCAS WHITE
Suffix:
Gender:F
Credentials:CPC, CADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3343 PEACHTREE RD NE STE 145
Mailing Address - Street 2:(ATLANTA FINANCIAL CENTER)-1454
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326
Mailing Address - Country:US
Mailing Address - Phone:888-337-3789
Mailing Address - Fax:888-847-4491
Practice Address - Street 1:303 WESTWOOD PKWY APT 2
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-6876
Practice Address - Country:US
Practice Address - Phone:404-905-7271
Practice Address - Fax:888-847-4497
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor