Organization
BAPTIST NEUROLOGY INC
Active
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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