# BAPTIST OBSTETRICS AND GYNECOLOGY INC

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

## Provider details

- **NPI number:** 1902517113
- **Authorized official:** MARSHA DONALDSON (VICE PRESIDENT)
- **Authorized official phone:** (904) 376-3703

## Contact information

- **Practice address:** 1340 S 18TH ST STE 201, FERNANDINA BEACH, FL 32034-4733
- **Practice address phone:** (904) 321-3670
- **Practice address fax:** (904) 376-3416
- **Mailing address:** PO BOX 748667, ATLANTA, GA 30374-8667
- **Mailing address phone:** (904) 202-1032
- **Mailing address fax:** (904) 376-4107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 12/08/2022