Organization
BAPTIST AGEWELL PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 202-2141
Entity
Organization
Contact information
Practice address
98 NOCATEE VILLAGE DR, PONTE VEDRA, FL 32081-6152
(904) 202-4243
(904) 390-7415
Mailing address
PO BOX 746636, ATLANTA, GA 30374-6636
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
08/30/2021
Last updated
12/16/2025
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