| NPI | 1477698611 |
|---|---|
| Doing Business As | KINGS BAY FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELITO BUENCAMINO LACANILAO President 912-882-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 052769) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-12-20 |