MPPG INC. NPI 1639420151

NPI Information

  • NPI: 1639420151
  • Provider Name: MPPG, INC.
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Doing Business As: ACI SURGICAL ASSOCIATES
  • Address: 14 OKATIE CENTER BLVD S
    SUITE 101
    OKATIE, SC
    ZIP 29909
  • Phone: (912) 350-2299

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NPI Details

MPPG, INC. is a gynecologic oncology obstetrics gynecology in Okatie, SC. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MPPG, INC. NPI is 1639420151. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aci Surgical Associates.

The provider's business location address is:

14 OKATIE CENTER BLVD S
SUITE 101
OKATIE, SC
ZIP 29909-506
Phone: (912) 350-2299
Fax: (912) 350-2298

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 9/24/2012 and was last updated on 9/24/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
3207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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This page was last updated on: 11/21/2025

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