Provider Demographics
NPI:1306130422
Name:HUGGINS, SUZANNE SMITH
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:SMITH
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 TURTLE COVE DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337-9788
Mailing Address - Country:US
Mailing Address - Phone:910-874-4705
Mailing Address - Fax:910-862-2516
Practice Address - Street 1:129 TURTLE COVE DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-9788
Practice Address - Country:US
Practice Address - Phone:910-874-4705
Practice Address - Fax:910-862-2516
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)