Lacanilao Medical Management PC
NPI #1477698611 in Saint Marys, Georgia
Provider Information
- NPI Number
- 1477698611
- Entity Type
- Organization
- Organization Name
- Lacanilao Medical Management PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Dec 20, 2012
Practice Location
- Address
- 340 CHARLIE SMITH SR HWY
- City
- Saint Marys
- State
- Georgia
- ZIP Code
- 31558-3101
- Phone
- (912) 882-5030
Authorized Official
- Name
- DR. ANGELITO BUENCAMINO LACANILAO, M.D.
- Title
- PRESIDENT
- Phone
- (912) 882-5030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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