Individual
CAUDREAN LATISTE AVERY-BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1918 RANDOLPH RD, SUITE 300, CHARLOTTE, NC 28207-1100
(704) 377-5675
(704) 335-8163
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 377-5675
(704) 335-8163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200800028
NC
207V00000X
Obstetrics & Gynecology Physician
MD430442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-00028
NC STATE MEDICAL BOARD
NC
05
—
5910315
—
NC
Enumeration date
12/28/2006
Last updated
10/14/2025
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