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Individual

DR. ANGELITO BUENCAMINO LACANILAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
88 LINDSEY LN STE B, SAINT MARYS, GA 31558-1656
(912) 882-5030
(888) 476-5235
Mailing address
88 LINDSEY LN STE B, SAINT MARYS, GA 31558-1656
(912) 882-5030
(888) 476-5235

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052769
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083558714B
GA
Enumeration date
02/21/2007
Last updated
04/16/2025
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