Individual
KAMELA MANANTAN CAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
406 NORTHSIDE DR STE M, VALDOSTA, GA 31602-1853
(229) 241-0059
Mailing address
406 NORTHSIDE DR STE M, VALDOSTA, GA 31602-1853
(292) 241-0059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101589
GA
208000000X
Pediatrics Physician
ME144622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105830900
—
FL
Enumeration date
03/23/2017
Last updated
04/08/2025
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