NPI 1164583357

Mppg, INC.

Organisation Vascular Surgery Physician Bluffton, SC

Practice location

Address: 7 Mallet Way, Bluffton, SC 29910
Phone: (912) 350-5961
Fax: (912) 350-5942
Mailing address: PO Box 102032, Atlanta, GA 30368-2032

Authorised official

Name: Robin J. Maddox
Title: Provider Enrollment Coordinator
Phone: (912) 350-9335

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in South Carolina →

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in South Carolina →

Registry record

NPI: 1164583357
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 1 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.