Whalio Doctors

NPI 1093943300

Constance Enmon, MD

Practitioner Pediatrics Physician Kennesaw, GA

Practice location

Address
625 Big Shanty Rd NW, Kennesaw, GA 30144-3646
Phone
(404) 785-8010
Fax
(404) 785-8090

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 67561 (GA)

Registry record

NPI
1093943300
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2009
Record last updated
6 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.