Mppg, Inc.

NPI #1639339252 in Savannah, Georgia

Provider Information

NPI Number: 1639339252
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 17, 2008
Last Updated: Jun 1, 2011

Practice Location

Address: 340 EISENHOWER DR
Address 2: 1200
City: Savannah
State: Georgia
ZIP Code: 31406-1600
Phone: (912) 443-4200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Physical Therapist	225100000X
Internal Medicine	207R00000X	Primary

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