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NPI Code Detail

MEDICARE: BAPTIST PRIMARY CARE

MEDICARE: BAPTIST PRIMARY CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1750211967
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST PRIMARY CARE
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 8595 SAINT JOHNS PKWY STE B103
Second Line :
City : SAINT AUGUSTINE
State : FL
Zip : 32092-2064
Country : US
Telephone Number : 904-376-4940
Fax Number : 904-376-4943
Authorized Official
Title or Position : VICE PRESIDENCE
Name : MARSHA DONALDSON
Credential :
Telephone Number : 904-376-3703
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “BAPTIST PRIMARY CARE ” Practice Location

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