Provider Demographics
NPI:1366743171
Name:CAVALIERE, BENEDICT V JR (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:BENEDICT
Middle Name:V
Last Name:CAVALIERE
Suffix:JR
Gender:M
Credentials:CHIROPRACTOR
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Mailing Address - Street 1:2050 CUMMING HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8614
Mailing Address - Country:US
Mailing Address - Phone:770-345-9600
Mailing Address - Fax:770-345-9611
Practice Address - Street 1:2050 CUMMING HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8614
Practice Address - Country:US
Practice Address - Phone:770-345-9600
Practice Address - Fax:770-345-9611
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
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Provider Licenses
StateLicense IDTaxonomies
GACHIR008734111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor