Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUANE ENNIS, R, CT
ActiveDUANE ENNIS, R, CT is a 2471C3402X healthcare provider located in MACON, Georgia. NPI 1891706214 is currently active in the NPPES registry. Verify at CMS.
2471C3402X · MACON, GA
Registration Details
- NPI Number
- 1891706214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.02912702525 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
364369364369364369
Practice Information
- Address
-
1504 HARDEMAN AVESUITE BMACON, GA, 312011416Browse GA providers · Browse ZIP 31201
- Phone
- 4787453135
- Fax
- 4787453136
- Primary Specialty
-
2471C3402X
2471C3402X
- Additional Specialty
- 2471C3401X
- Additional Specialty
- 2471C3402X
Other 2471C3402X Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH ANN KOVALICK-LEGGETT | R | 1801807201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.