Healthcare Provider Details

I. General information

NPI: 1316192537
Provider Name (Legal Business Name): RHONDA LUMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 N CLAYTON ST
LAWRENCEVILLE GA
30046-4815
US

IV. Provider business mailing address

PO BOX 3777
DECATUR GA
30031-3777
US

V. Phone/Fax

Practice location:
  • Phone: 678-948-5668
  • Fax:
Mailing address:
  • Phone: 678-948-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: