Provider Demographics
NPI:1083118277
Name:BENEFIELD, ANA-MARIA NAE (MD)
Entity Type:Individual
Prefix:
First Name:ANA-MARIA
Middle Name:NAE
Last Name:BENEFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA-MARIA
Other - Middle Name:
Other - Last Name:NAE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1397 BELK BLVD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5301
Mailing Address - Country:US
Mailing Address - Phone:622-236-4675
Mailing Address - Fax:
Practice Address - Street 1:1397 BELK BLVD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5301
Practice Address - Country:US
Practice Address - Phone:622-236-4675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC238013207Q00000X
MS29840207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine