Individual
CHRISTOPHER R ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1515 HANES MALL BLVD, WINSTON SALEM, NC 27103-1358
(336) 773-7373
Mailing address
1515 HANES MALL BLVD, WINSTON SALEM, NC 27103-1358
(336) 773-7373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016AP
—
NC
Enumeration date
07/28/2016
Last updated
07/28/2016
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