Willis Ennis, M.D

NPI 1770875502 · on the registry since 2011 · sole proprietor

Practice

Address: 169 Ashley Ave
Room 202 Main Hospital
Charleston, SC 29425
Phone: (843) 792-2300
Organisation at this address: Musc
Carolina Family Care
University Medical Associates
Medical University Of South Carolina
Medical University Of South Carolina
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 995

Registry record

Primary taxonomy: 207ZP0102X
207ZP0102X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina