Individual
DR. CECIL LAWRENCE ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-2375
Mailing address
750 MORPHY AVENUE, FAIRHOPE, AL 36523, AL 36532
(251) 928-2375
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
7000
AL
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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