Mppg, Inc.

NPI #1255408407 in Rincon, Georgia

Provider Information

NPI Number: 1255408407
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 30, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 241 SILVERWOOD COMMERCIAL DR
City: Rincon
State: Georgia
ZIP Code: 31326-5164
Phone: (912) 350-5937

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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