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NPI Code Detail

MEDICARE: ACH MARTIN-BENNING

MEDICARE: ACH MARTIN-BENNING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341800000XMilitary/U.S. Coast Guard Transport,
2332000000XMilitary/U.S. Coast Guard Pharmacy

General Provider Information

NPI Number : 1598528424
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACH MARTIN-BENNING
Provider Business Mailing Address
First Line : 8830 WATKINS AVE BLDG 9052
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-5529
Country : US
Telephone Number : 706-544-1907
Fax Number : 762-408-8110
Provider Business Practice Location Address
First Line : 8830 WATKINS AVE BLDG 9052
Second Line :
City : FORT MOORE
State : GA
Zip : 31905-5529
Country : US
Telephone Number : 706-544-1906
Fax Number : 762-408-2239
Authorized Official
Title or Position : CHIEF DHA POSC
Name : HECTOR MORALES
Credential :
Telephone Number : 210-536-6650
Provider Enumeration Date : 02/02/2024
Last Update Date : 06/06/2025

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Directions to “ACH MARTIN-BENNING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.