Mppg, Inc.

NPI #1811057250 in Savannah, Georgia

Provider Information

NPI Number: 1811057250
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 8, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 1107 EAST 66TH STREET
City: Savannah
State: Georgia
ZIP Code: 31404
Phone: (912) 350-8404

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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