# BAPTIST OBSTETRICS AND GYNECOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154620169
- **Authorized official:** EARL B MALLY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (904) 376-4275

## Contact information

- **Practice address:** 12341 YELLOW BLUFF RD, JACKSONVILLE, FL 32226-2025
- **Practice address phone:** (904) 225-2779
- **Practice address fax:** (904) 225-8477
- **Mailing address:** 12341 YELLOW BLUFF RD, JACKSONVILLE, FL 32226-2025
- **Mailing address phone:** (904) 225-2779
- **Mailing address fax:** (904) 225-8477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME62735 | FL | Yes |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/17/2011