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
14540 OLD SAINT AUGUSTINE RD STE 2201, JACKSONVILLE, FL 32258-7418
(904) 880-9696
(904) 880-6562
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
09/04/2020
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