CHRISTOPHER BLAKE ENNIS

MACON, GA
NPI1740739853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN201532)
Enumeration Date2016-09-30
Last Update Date2023-09-20
Business Address
CHRISTOPHER BLAKE ENNIS ACNPC-AG
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-6272
Mailing Address
CHRISTOPHER BLAKE ENNIS ACNPC-AG
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-6272
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