Individual provider · NPI-1

Ashley Benitez

Nurse Practitioner · Bremen, GA

NPI number1023769965

StatusActive

Last updated in NPPESMar 20, 2025

Details

NPI: 1023769965
Entity type: Individual (NPI-1)
Name: Ashley Benitez
Sex: Female
Sole proprietor: No
Enumeration date: Jan 12, 2022
Certification date: Mar 20, 2025
Last updated: Mar 20, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	RN278135	GA	Yes
363LF0000X	Nurse Practitioner, Family	1-175802	AL

Other names

Ashley Marie Roberts (Former Name)

Practice location

1009 Alabama Ave S
Bremen, GA 30110-2501

Phone 678-821-6400 · Fax 678-821-6401

Mailing address

249 Valley Dr
Bremen, GA 30110-5435

Phone 256-525-0834

Other practice locations

249 Valley Dr
Bremen, GA 30110-5435

Phone 256-525-0834

400 E 10th St
Anniston, AL 36207-4716

Phone 256-235-5211

820 Maple St
Carrollton, GA 30117-3626

Phone 678-390-7915 · Fax 678-390-7901

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