Organization
BAPTIST PRIMARY CARE INC
Active
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
13241 BARTRAM PARK BLVD UNIT 2105, JACKSONVILLE, FL 32258-5224
(904) 292-4111
(904) 292-4080
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
09/04/2020
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