Mppg, Inc.

NPI #1154480614 in Rincon, Georgia

Provider Information

NPI Number: 1154480614
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 8, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 241 SILVERWOOD COMMERCIAL DRIVE
City: Rincon
State: Georgia
ZIP Code: 31326
Phone: (912) 826-8800

Authorized Official

Name: ROBIN J. MADDOX
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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