NPI 1518025857
Mppg, INC.
Practice location
- Address
- 459 Ga Highway 119 S, Springfield, GA 31329-3021
- Phone
- (912) 350-4750
- Fax
- (912) 350-4751
- 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 (3)
Pulmonary Disease Physician
Primary
Critical Care Medicine (Internal Medicine) Physician
Sleep Medicine (Internal Medicine) Physician
Registry record
- NPI
- 1518025857
- Entity type
- Organization
- NPI issued
- 5 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.