Mppg, Inc.

NPI #1396086062 in Pooler, Georgia

Provider Information

NPI Number
1396086062
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Emergency Medicine
Enumeration Date
Mar 6, 2013
Last Updated
May 13, 2014

Practice Location

Address
110 MEDICAL PARK DR
City
Pooler
State
Georgia
ZIP Code
31322-1956
Phone
(921) 748-1515

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine
General Practice
Physician Assistant
Emergency Medicine

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