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1932692597
BENJAMIN MANUEL ENCISO
AUGUSTA, GA
NPI
1932692597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 101924)
Additional Taxonomies
208600000X Surgery
(Licence: NC 2023-01649)
Enumeration Date
2018-06-08
Last Update Date
2025-01-15
Business Address
BENJAMIN MANUEL ENCISO DO
818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA 30901-2652
Phone number: 706-774-8940
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Mailing Address
BENJAMIN MANUEL ENCISO DO
818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA 30901-2652
Phone number:
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