Mppg, Inc.

NPI #1407121056 in Savannah, Georgia

Provider Information

NPI Number
1407121056
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Surgery
Enumeration Date
Mar 15, 2012
Last Updated
Oct 14, 2016

Practice Location

Address
4700 WATERS AVE
Address 2
1ST FLOOR MUS BLDG
State
Georgia
ZIP Code
31404-6220
Phone
(912) 350-3438

Authorized Official

Name
SEBRENA HOLMES GIBSON
Title
PROVIDER ENROLLMENT COORDINATOR
Phone
(912) 350-9335

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Surgery

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