Individual
DR. RENALI AMPARO C. AGBAYANI-BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2040 DAN PROCTOR DR., SUITE 140, ST. MARYS, GA 31558
(912) 673-8000
(912) 673-8003
Mailing address
2040 DAN PROCTOR DR., SUITE 140, ST. MARYS, GA 31558
(912) 673-8000
(912) 673-8003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056675
GA
Other
Enumeration date
02/15/2006
Last updated
01/05/2026
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