Organization
BAPTIST PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 334-7627
Entity
Organization
Contact information
Practice address
400 COLONNADE DR STE 200, PONTE VEDRA, FL 32081-6236
(904) 731-3530
(904) 737-1548
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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