Kings Bay Family Care
LBN: Lacanilao Medical Management Pc
Kings Bay Family Care is an health care organization with primary practice located at 340 Charlie Smith Sr Hwy , Saint Marys GA 31558-3101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Lacanilao Medical Management Pc can be contacted via phone (912) 882-5030, or through Lacanilao, Angelito Buencamino via phone (912) 882-5030.
Contact Information
Primary practice address
340 Charlie Smith Sr Hwy
Saint Marys GA 31558-3101
Phone: (912) 882-5030
Fax: (888) 476-5235
Website:
Authorized official contact:
Name: Lacanilao, Angelito Buencamino Doctor of Medicine (MD)
Phone: (912) 882-5030
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052769 | Georgia |
Profile Details
| NPI number | 1477698611 |
|---|---|
| LBN Legal business name | Lacanilao Medical Management Pc |
| DBA Doing business as | Kings Bay Family Care |
| Authorized official | Lacanilao, Angelito Buencamino Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Dec 20th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477698611 | NPPES |
| Georgia | Other | GRP6277 | MEDICARE PTAN |
| Georgia | Other | 1477698611 | MEDICARE PTAN |
| Georgia | MEDICAID | 083558714B | MEDICARE PTAN |
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