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Organization

BAPTIST NEUROLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYRONE MCCLOUD (EXECUTIVE DIRECTOR)
(904) 202-5367
Entity
Organization

Contact information

Practice address
2310 VILLAGE SQUARE PKWY STE 202, FLEMING ISLAND, FL 32003-6409
(904) 516-1880
(904) 516-1885
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2084E0001X
Epilepsy Physician
2084N0400X
Neurology Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
10/24/2014
Last updated
04/15/2026
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