Individual
ANTHONY BENAVENTE ISHMAEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3504 PROFESSIONAL CIR STE B, MARTINEZ, GA 30907-8236
(706) 945-1064
(706) 305-1728
Mailing address
3504 PROFESSIONAL CIR STE B, MARTINEZ, GA 30907-8236
(706) 945-1064
(706) 305-1728
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PHCP043829
GA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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