Organization
BAPTIST MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON CREECH (DELEGATED OFFICIAL)
(850) 475-3726
Entity
Organization
Contact information
Practice address
2010 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1352
(850) 908-3140
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
04/28/2021
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