Healthcare Provider Details

I. General information

NPI: 1669336244
Provider Name (Legal Business Name): SUGGA'S INDUSTRIES INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 PULLIAM ST SW STE 350
ATLANTA GA
30312-2750
US

IV. Provider business mailing address

2221 PEACHTREE RD NE # D120
ATLANTA GA
30309-1148
US

V. Phone/Fax

Practice location:
  • Phone: 404-963-1059
  • Fax:
Mailing address:
  • Phone: 404-963-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIPHANIE WATSON JOHNSON
Title or Position: CEO
Credential:
Phone: 470-654-0366