# MPM GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013158302
- **Authorized official:** GODFREY O ILONZO (PRESIDENT)
- **Authorized official phone:** (770) 692-8810

## Contact information

- **Practice address:** 2430 HERODIAN WAY SE STE 210, SMYRNA, GA 30080-2980
- **Practice address phone:** (770) 933-9951
- **Mailing address:** 1135 SENOIA RD, TYRONE, GA 30290-1625
- **Mailing address phone:** (770) 692-8810
- **Mailing address fax:** (770) 692-8815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 06/28/2011