| Baptist Primary Care Inc | |
|
462626 State Road 200 Ste 100 Yulee FL 32097-5513 | |
| (904) 225-3824 | |
| (904) 390-7440 |
| Full Name | Baptist Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 462626 State Road 200 Ste 100, Yulee, Florida |
| Authorized Official Name and Position | Elizabeth Tibbs (VICE PRESIDENT) |
| Authorized Official Contact | 9042023283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Primary Care Inc Po Box 746638 Atlanta GA 30374-6638 Ph: (904) 202-2092 | Baptist Primary Care Inc 462626 State Road 200 Ste 100 Yulee FL 32097-5513 Ph: (904) 225-3824 |
| NPI Number | 1710509203 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 04/27/2026 |
| Certification Date | 04/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710509203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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