| Mppg, Inc. | |
|
455 South Maine Street Suite 203 Hinesville GA 31313 | |
| (912) 876-3552 | |
| (912) 876-3557 |
| Full Name | Mppg, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 455 South Maine Street, Hinesville, Georgia |
| 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: (912) 876-3552 | Mppg, Inc. 455 South Maine Street Suite 203 Hinesville GA 31313 Ph: (912) 876-3552 |
| NPI Number | 1790844389 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790844389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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