Individual
CLINTON ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 FAIRFAX AVE STE 200, NORFOLK, VA 23507-2007
(757) 446-5629
(757) 446-6000
Mailing address
721 FAIRFAX AVE STE 200, NORFOLK, VA 23507-2007
(757) 446-5629
(757) 446-6000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101275278
VA
207N00000X
Dermatology Physician
ME151678
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110954500
—
FL
Enumeration date
04/14/2016
Last updated
07/23/2022
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