Organization
BAPTIST AGEWELL PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TIBBS (EXECUTIVE DIRECTOR)
(904) 202-3283
Entity
Organization
Contact information
Practice address
700 3RD ST STE 102, NEPTUNE BEACH, FL 32266-5082
(904) 202-4243
(904) 202-4639
Mailing address
PO BOX 746636, ATLANTA, GA 30374-6636
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/20/2021
Last updated
03/03/2026
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