DR. Calvin S Ennis, M.D.

NPI #1144320920 in Moss Point, Mississippi

Provider Information

NPI Number
1144320920
Entity Type
Individual
Name
DR. Calvin S Ennis, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Sep 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8006 HWY 613
ZIP Code
39562
Phone
(228) 475-1166

Specialties & Taxonomy Codes

Specialty
Family Medicine

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