Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lacanilao Medical Management PC

Organization Family Medicine Physician · NPI 1477698611

Lacanilao Medical Management PC provides Family Medicine Physician services 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.

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Practice location Address checks out

340 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3101 Not confirmed with CMS for 13 years — call before visiting
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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