Individual
BENJAMIN JOSEPH CAVISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST # AF-1020, AUGUSTA, GA 30912-0004
(706) 721-4467
Mailing address
3201 NORRIS CT, AUGUSTA, GA 30907-3737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13812
GA
Other
Enumeration date
06/09/2022
Last updated
06/23/2022
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