Individual
SHAWANDA LUMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5388 WINDING GLEN DR # FR, LITHONIA, GA 30038-2396
(314) 659-0888
Mailing address
5388 WINDING GLEN DR, LITHONIA, GA 30038-2396
(314) 659-0888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
831493764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831493764
—
GA
Enumeration date
08/19/2018
Last updated
08/19/2018
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