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MPPG INC. NPI 1891861548


NPI Information

NPI: 1891861548
Provider Name: MPPG, INC.

Doing Business As: MEMORIAL HEALTH RICHMOND HILL

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D2073792

Address:
3776 US HIGHWAY 17
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 350-7020
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MPPG, INC. is an internal medicine in Richmond Hill, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MPPG, INC. NPI is 1891861548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Health Richmond Hill.

The provider's business location address is:

3776 US HIGHWAY 17
RICHMOND HILL, GA
ZIP 31324-378
Phone: (912) 350-7020
Fax: (912) 459-0064

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

The CLIA number assigned to this NPI record is 11D2073792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 6/20/2016.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13000031676AMEDICAIDGEORGIA
2085001150GOTHERGEORGIAGBHC
3CH5121OTHERGEORGIARAILROAD MEDICARE GROUP
4GRP3905MEDICARE PINGEORGIA

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: 5/5/2024

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