MPPG INC. NPI 1255407938

NPI Information

MPPG, INC. is a gynecology obstetrics gynecology in Savannah, GA. MPPG, INC. NPI is 1255407938. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Provident Ob Gyn Associates.

The provider's business location address is:

4750 WATERS AVE
SUITE 400
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-5937
Fax: (912) 350-3483

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 11/27/2006 and was last updated on 6/1/2011.

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:

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