Mppg, Inc.

NPI #1982925145 in Okatie, South Carolina

Provider Information

NPI Number: 1982925145
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 22, 2010
Last Updated: Jun 1, 2011

Practice Location

Address: 14 OKATIE CENTER BLVD. SOUTH
Address 2: SUITE 101
City: Okatie
State: South Carolina
ZIP Code: 29909
Phone: (843) 836-3800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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