Organization
BAPTIST PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3703
Entity
Organization
Contact information
Practice address
3563 PHILIPS HWY STE 101A, JACKSONVILLE, FL 32207-5663
(904) 376-3707
(904) 391-5001
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
207R00000X
Internal Medicine Physician
—
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
FL
207RI0200X
Infectious Disease Physician
—
FL
207RR0500X
Rheumatology Physician
—
FL
208000000X
Pediatrics Physician
—
FL
208M00000X
Hospitalist Physician
—
FL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103895963C
—
GA
05
—
265495400
—
FL
Enumeration date
05/15/2006
Last updated
08/16/2024
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