Provident Ob Gyn Associates

LBN: Mppg, Inc.
Provident Ob Gyn Associates is an health care organization with primary practice located at 4750 Waters Ave Suite 400, Savannah GA 31404-6200. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. Mppg, Inc. can be contacted via phone (912) 350-5937, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
4750 Waters Ave Suite 400 Savannah GA 31404-6200
Phone: (912) 350-5937
Fax: (912) 350-3483
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Robin J.
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1255407938
LBN Legal business name Mppg, Inc.
DBA Doing business as Provident Ob Gyn Associates
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Jun 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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