Mppg, Inc.

NPI #1508925454 in Sylvania, Georgia

Provider Information

NPI Number: 1508925454
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 6, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 105 ROCKY FORD ROAD
City: Sylvania
State: Georgia
ZIP Code: 30467
Phone: (912) 564-7133

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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