Anthony Benavente Ishmael JR.

NPI #1629936968 in Martinez, Georgia

Provider Information

NPI Number
1629936968
Entity Type
Individual
Name
Anthony Benavente Ishmael JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Jan 14, 2026
Last Updated
Jan 14, 2026

Practice Location

Address
3504 PROFESSIONAL CIR STE B
State
Georgia
ZIP Code
30907-8236
Phone
(706) 945-1064

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