Mppg, Inc.

NPI #1548337736 in Douglas, Georgia

Provider Information

NPI Number
1548337736
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Obstetrics & Gynecology - Maternal & Fetal Medicine
Enumeration Date
Nov 30, 2006
Last Updated
Jun 1, 2011

Practice Location

Address
200 DOCTORS DR
Address 2
SUITE 102
State
Georgia
ZIP Code
31533-2201
Phone
(912) 350-5970

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - Maternal & Fetal MedicineMaternal & Fetal Medicine

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