Mppg, Inc.

NPI #1760541080 in Okatie, South Carolina

Provider Information

NPI Number
1760541080
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Surgery
Enumeration Date
Dec 6, 2006
Last Updated
Oct 4, 2011

Practice Location

Address
14 OKATIE CENTER BLVD S
Address 2
SUITE 101
City
Okatie
ZIP Code
29909-7506
Phone
(912) 350-7412

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Surgery - Surgical Critical CareSurgical Critical Care
Surgery - Trauma SurgeryTrauma Surgery
Surgery

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