Provider Demographics
NPI:1770219628
Name:LUMP AND BUMP, LLC
Entity Type:Organization
Organization Name:LUMP AND BUMP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-884-5262
Mailing Address - Street 1:7454 HANNOVER PKWY S STE 245
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6835
Mailing Address - Country:US
Mailing Address - Phone:678-884-5262
Mailing Address - Fax:678-884-5383
Practice Address - Street 1:7454 HANNOVER PKWY S STE 245
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6835
Practice Address - Country:US
Practice Address - Phone:678-884-5262
Practice Address - Fax:678-884-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA037058OtherMEDICAL LICENSE NUMBER