Organization
BAPTIST AGEWELL PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (ADMINISTRATOR)
(904) 376-3707
Entity
Organization
Contact information
Practice address
3563 PHILIPS HWY STE 101, JACKSONVILLE, FL 32207
(904) 202-1032
(904) 376-4107
Mailing address
PO BOX 746636, ATLANTA, GA 30374-6636
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/30/2012
Last updated
12/08/2025
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