Individual
SAMMY ENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4315 MULBERRY RIDGE LN, HOSCHTON, GA 30548-1699
(470) 257-2672
Mailing address
4315 MULBERRY RIDGE LN, HOSCHTON, GA 30548-1699
(470) 257-2672
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
About Stedi
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