Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacanilao Medical Management PC

Organization Family Medicine Physician · NPI 1477698611

Lacanilao Medical Management PC is a Family Medicine Physician in Saint Marys, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

340 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3101
Phone: (912) 882-5030
Fax: (888) 476-5235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 052769 (GA)

Record details

NPI number1477698611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelito Lacanilao — President · (912) 882-5030
Other names Kings Bay Family Care
NPI enumeratedFebruary 21, 2007
Last updated in NPPESDecember 20, 2012
Mailing address340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101

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