Mppg, Inc.

NPI #1790844389 in Hinesville, Georgia

Provider Information

NPI Number
1790844389
Entity Type
Organization
Organization Name
Mppg, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Dec 8, 2006
Last Updated
Jun 1, 2011

Practice Location

Address
455 SOUTH MAINE STREET
Address 2
SUITE 203
State
Georgia
ZIP Code
31313
Phone
(912) 876-3552

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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