BENJAMIN MANUEL ENCISO

AUGUSTA, GA
NPI1932692597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: GA  101924)
Additional Taxonomies208600000X Surgery
(Licence: NC  2023-01649)
Enumeration Date2018-06-08
Last Update Date2025-01-15
Business Address
BENJAMIN MANUEL ENCISO DO
818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA 30901-2652
Phone number: 706-774-8940
Mailing Address
BENJAMIN MANUEL ENCISO DO
818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA 30901-2652
Phone number: