Dr CALVIN ENNIS is a male medical professional, specializing in Family Medicine. He graduated in 1962.
MEMORIAL HOSPITAL AT GULFPORT
8006 HWY 613
MOSS POINT
MS
395628200
Tel: 2284751166
| Npi | 1144320920 |
| Pac Id | 3072643097 |
| Professional Enrollment Id | I20100617000185 |
| Last Name | ENNIS |
| First Name | CALVIN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1962 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Group Practice Pac Id | 2466524012 |
| Number Of Group Practice Members | 342 |
| Line 1 Street Address | 8006 HWY 613 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MOSS POINT |
| State | MS |
| Zip Code | 395628200 |
| Phone Number | 2284751166 |
| Hospital Affiliation Ccn 1 | 250019 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL AT GULFPORT |
| Hospital Affiliation Ccn 2 | 250040 |
| Hospital Affiliation Lbn 2 | SINGING RIVER HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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