NPI 1407044829

Cecil Lawrence Ennis, MD

Practitioner Rehabilitation Practitioner Fairhope, AL

Practice location

Address: 750 Morphy Ave, Fairhope, AL 36532-1812
Phone: (251) 928-2375
Mailing address: 750 Morphy Avenue, Fairhope, Al 36523, AL 36532

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 7000 (AL)

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Registry record

NPI: 1407044829
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2007
Record last updated: 10 Oct 2007

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.