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MPPG INC. NPI 1255408407


NPI Information

NPI: 1255408407
Provider Name: MPPG, INC.

Doing Business As: PROVIDENT OB GYN ASSOCIATES

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
241 SILVERWOOD COMMERCIAL DR
RINCON, GA
ZIP 31326
Phone: (912) 350-5937
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MPPG, INC. is an obstetrics gynecology in Rincon, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MPPG, INC. NPI is 1255408407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Provident Ob Gyn Associates.

The provider's business location address is:

241 SILVERWOOD COMMERCIAL DR
RINCON, GA
ZIP 31326-164
Phone: (912) 350-5937
Fax: (912) 350-3483

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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