Provider Demographics
NPI:1558503318
Name:MULUMBA, SINDY (MD)
Entity type:Individual
Prefix:DR
First Name:SINDY
Middle Name:
Last Name:MULUMBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SINDY
Other - Middle Name:
Other - Last Name:BERNOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4330 JOHNS CREEK PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6120
Mailing Address - Country:US
Mailing Address - Phone:470-253-1350
Mailing Address - Fax:470-153-1349
Practice Address - Street 1:4330 JOHNS CREEK PKWY STE 400
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6120
Practice Address - Country:US
Practice Address - Phone:470-253-1350
Practice Address - Fax:470-153-1349
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361368705207Q00000X
GA99069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine