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Organization

BAPTIST NEUROLOGY INC

Active
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Organization

BAPTIST NEUROLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMIEN MAFARLANE (DIRECTOR)
(904) 202-4136
Entity
Organization

Contact information

Practice address
8595 SAINT JOHNS PKWY STE B107, ST AUGUSTINE, FL 32092-2064
(904) 376-3880
(904) 618-2113
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
2084N0400X
Neurology Physician
Primary
2084N0600X
Clinical Neurophysiology Physician
2084V0102X
Vascular Neurology Physician

Other

Enumeration date
07/13/2026
Last updated
07/13/2026
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