Agbayani-Bautista, Renali Amparo C.
Agbayani-Bautista, Renali Amparo C. is an individual health care provider with primary practice located at 2040 Dan Proctor Dr. Suite 140, St. Marys GA 31558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agbayani-Bautista, Renali Amparo C. can be contacted via phone (912) 673-8000.Contact Information
Primary practice address
2040 Dan Proctor Dr. Suite 140
St. Marys GA 31558
Phone: (912) 673-8000
Fax: (912) 673-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 056675 | Georgia |
Profile Details
| NPI number | 1336113299 |
|---|---|
| LBN Legal business name | Agbayani-Bautista, Renali Amparo C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Sep 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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