NPI 1346316957

Mppg, INC.

Organisation Internal Medicine Physician Springfield, GA

Practice location

Address: 459 Ga Highway 119 S, Springfield, GA 31329-3021
Phone: (912) 754-7500
Fax: (912) 754-7505
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)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Georgia →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Georgia →

Registry record

NPI: 1346316957
Entity type: Organization
NPI issued: 27 Nov 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.