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Contact Information

RENALI A AGBAYANI BAUTISTA, MD
2040 DAN PROCTOR DR.
SUITE 140
SAINT MARYS, GA31558
 Phone: 912-673-8000
 Fax: 912-673-8003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RENALI A AGBAYANI BAUTISTA · (Female)

NPI # 1336113299
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 056675
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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