Mppg, Inc.
NPI #1891861548 in Richmond Hill, Georgia
Provider Information
- NPI Number
- 1891861548
- Entity Type
- Organization
- Organization Name
- Mppg, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Jun 20, 2016
Practice Location
- Address
- 3776 US HIGHWAY 17
- City
- Richmond Hill
- State
- Georgia
- ZIP Code
- 31324-3378
- Phone
- (912) 350-7020
Authorized Official
- Name
- MS. SEBRENA HOLMES GIBSON
- Title
- PROVIDER ENROLLMENT COORDINATOR
- Phone
- (912) 350-9335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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