Mppg, Inc.

NPI #1770650988 in Statesboro, Georgia

Provider Information

NPI Number: 1770650988
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Nov 30, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 1601 FAIR RD
City: Statesboro
State: Georgia
ZIP Code: 30458-1698
Phone: (912) 350-5961

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Organizations

Provider Name	Specialty	City
Jean-Claude Schwartz, M.d., P.c.	Surgery - Vascular Surgery	Statesboro	AI Deep Dive

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