Individual
ROEL MANALOTO LAYGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4451 PAULSEN ST, SAVANNAH, GA 31405-3664
(912) 350-7500
(912) 350-7735
Mailing address
4451 PAULSEN ST, SAVANNAH, GA 31405-3664
(912) 350-7500
(912) 350-7735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000656774B
—
GA
01
—
080164732
RR MEDICARE
GA
01
—
10065826
AMERIGROUP
GA
01
—
349794
WELLCARE
GA
05
—
G40133
—
SC
Enumeration date
06/06/2006
Last updated
02/01/2022
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