Individual
SCOTT DONALD ENSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
(919) 515-2111
Mailing address
2500 WARREN CARROLL DR BOX 8502, RALEIGH, NC 27695-0001
(919) 515-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3681
NC
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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