<Unavail>
LBN: Mppg, Inc.
<Unavail> is an health care organization with primary practice located at 14089 Abercorn St , Savannah GA 31419-1966. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mppg, Inc. can be contacted via phone (912) 350-2121, or through Maddox, Robin J. via phone (912) 350-9335.
Contact Information
Primary practice address
14089 Abercorn St
Savannah GA 31419-1966
Phone: (912) 350-2121
Fax: (912) 350-2145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1952642290 |
|---|---|
| LBN Legal business name | Mppg, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Maddox, Robin J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Mar 12th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952642290 | NPPES |
| Georgia | MEDICAID | 300031676A | |
| Georgia | Other | CH5121 |
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