Individual
DAVID M ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 MONTCLAIR RD, SUITE 606, BIRMINGHAM, AL 35213-1920
(205) 592-5917
(205) 599-4911
Mailing address
840 MONTCLAIR ROAD, SUITE #606, BIRMINGHAM, AL 35213-1920
(205) 592-5917
(205) 599-4911
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
15219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023825
—
AL
05
—
000027761
—
AL
Enumeration date
09/06/2006
Last updated
06/28/2023
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