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MPPG INC. NPI 1962561811


NPI Information

NPI: 1962561811
Provider Name: MPPG, INC.

Doing Business As: ENDOCRINOLOGY ASSOCIATES

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
4750 WATERS AVE
SUITE 452
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-5908
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MPPG, INC. is an endocrinology and diabetes and metabolism internal medicine in Savannah, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MPPG, INC. NPI is 1962561811. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Endocrinology Associates.

The provider's business location address is:

4750 WATERS AVE
SUITE 452
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-5908
Fax: (912) 350-5914

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 5/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, MetabolicNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GPA603MEDICAIDSOUTH CAROLINA
2CH5121OTHERGEORGIARR MEDICARE
3GRP3905MEDICARE PINGEORGIA
4300031676AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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