Provider Demographics
NPI:1518554021
Name:SUGGS, PRENTISS RENARD
Entity Type:Individual
Prefix:MR
First Name:PRENTISS
Middle Name:RENARD
Last Name:SUGGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9261 HELEN LN
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-5001
Mailing Address - Country:US
Mailing Address - Phone:216-533-5084
Mailing Address - Fax:
Practice Address - Street 1:9261 HELEN LN
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-5001
Practice Address - Country:US
Practice Address - Phone:216-533-5084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health