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NPI Code Detail

MEDICARE: SUMA HOLDING INC.

MEDICARE: SUMA HOLDING INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1902094030
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMA HOLDING INC.
Provider Business Mailing Address
First Line : 6080 COCA COLA BLVD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5533
Country : US
Telephone Number : 706-570-4417
Fax Number : 706-507-4565
Provider Business Practice Location Address
First Line : 6080 COCA COLA BLVD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5533
Country : US
Telephone Number : 706-570-4417
Fax Number : 706-507-4565
Authorized Official
Title or Position : PRESIDENT
Name : MR. DEVARAJ THIRUPPATHI
Credential :
Telephone Number : 706-570-4417
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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