Mppg, Inc.
NPI #1356418578 in Statesboro, Georgia
Provider Information
- NPI Number
- 1356418578
- Entity Type
- Organization
- Organization Name
- Mppg, Inc.
- Primary Specialty
- Pediatrics - Pediatric Hematology-Oncology
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Jun 1, 2011
Practice Location
- Address
- 1497 FAIR RD
- Address 2
- SUITE 200
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-0822
- Phone
- (912) 871-4847
Authorized Official
- Name
- ROBIN J. MADDOX
- Title
- PROVIDER ENROLLMENT COORDINATOR
- Phone
- (912) 350-9335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Hematology-Oncology — Pediatric Hematology-Oncology |
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