Provider Demographics
NPI:1902094030
Name:SUMA HOLDING INC.
Entity Type:Organization
Organization Name:SUMA HOLDING INC.
Other - Org Name:MEDICAL MOBILITY & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVARAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:THIRUPPATHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-570-4417
Mailing Address - Street 1:6080 COCA COLA BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5533
Mailing Address - Country:US
Mailing Address - Phone:706-570-4417
Mailing Address - Fax:706-507-4565
Practice Address - Street 1:6080 COCA COLA BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5533
Practice Address - Country:US
Practice Address - Phone:706-570-4417
Practice Address - Fax:706-507-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies