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Individual

ELIZABETH D ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213-1920
(205) 592-5135
(205) 592-5694
Mailing address
3686 GRANDVIEW PKWY, STE 810, BIRMINGHAM, AL 35243-3408

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
15220
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000022952
AL
05
000022953
AL
Enumeration date
10/15/2006
Last updated
02/21/2018
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