Organization
BAPTIST PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (ADMINISTRATOR)
(904) 376-3703
Entity
Organization
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 260-1818
(904) 260-4182
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/12/2018
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