| Mppg, Inc. | |
|
14 Okatie Center Blvd. South Suite 101 Okatie SC 29909 | |
| (843) 836-3800 | |
| (843) 705-3828 |
| Full Name | Mppg, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 14 Okatie Center Blvd. South, Okatie, South Carolina |
| Authorized Official Name and Position | Robin J. Maddox (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9123509335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mppg, Inc. Po Box 102032 Atlanta GA 30368-2032 Ph: (843) 836-3800 | Mppg, Inc. 14 Okatie Center Blvd. South Suite 101 Okatie SC 29909 Ph: (843) 836-3800 |
| NPI Number | 1619037009 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619037009 | NPI | - | NPPES |
| 300031676A | Medicaid | GA | |
| CJ4583 | Other | SC | RR MEDICARE GROUP |
| GP4223 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Hilton Head Regional Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Center Blvd S Ste 100, Okatie, SC 29909 Phone: 843-705-9145 Fax: 843-705-7024 | |
Bluffton Okatie Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Center Blvd South, Suite 100a, Okatie, SC 29909 Phone: 843-705-8888 Fax: 843-705-7024 | |
Heart Associate Of Hilton Head Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 Phone: 843-682-4673 Fax: 877-599-0017 | |
Center For Digestive And Liver Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Center Blvd S, Suite 210, Okatie, SC 29909 Phone: 912-303-4200 Fax: 912-790-2701 | |
South Carolina Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Blvd. South, Suite 100, Okatie, SC 29909 Phone: 843-705-8888 Fax: 843-705-7024 |