Mppg, Inc.

NPI #1780752550 in Richmond Hill, Georgia

Provider Information

NPI Number
1780752550
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Surgery
Enumeration Date
Dec 1, 2006
Last Updated
Aug 15, 2012

Practice Location

Address
3780 US HIGHWAY 17
State
Georgia
ZIP Code
31324-3378
Phone
(912) 350-8712

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Colon & Rectal Surgery
Surgery

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