Duane Ennis is a Radiography in Bonaire, Georgia. Duane Ennis practices all healthcare services and medical treatments related to Radiography. The NPI Number for Duane Ennis is 1891706214. The last update date is 2007-07-08.
Duane Ennis's current location address is 301 Canterfield Dr, Bonaire, Georgia. You can contact this provider via phone number 4789180419. The mailing address for Duane Ennis is 301 Canterfield Dr, Bonaire, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane Ennis |
|---|---|
| Address | 301 Canterfield Dr, Bonaire, Georgia |
| Phone Number | 4789180419 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R, CT |
NPI Number Detail
| NPI Number | 1891706214 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 Canterfield Dr |
|---|---|
| City | Bonaire |
| State | Georgia (GA) |
| Post Code | 310053363 |
| Phone Number | 4789180419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiography |
|---|---|
| Taxonomy | 2471C3402X |
| Licence No | 364369 |
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Definition: A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniq |
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What is the Duane Ennis's 1891706214?
The Duane Ennis's NPI (National Provider Identifier) Number is 1891706214. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Duane Ennis is physically located?
The Duane Ennis is situated at the following address: 301 Canterfield Dr, Bonaire, GA 310053363.
What is Duane Ennis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Duane Ennis is Radiography, and the corresponding taxonomy classification code for this specialized field is 2471C3402X.
On what date did the Duane Ennis receive the assignment of its 1891706214 from the Centers for Medicare & Medicaid Services?
The Duane Ennis was issued its 1891706214 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the Duane Ennis's details last updated?
The information pertaining to the Duane Ennis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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