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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Memorial Health Bluffton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
14 OKATIE CENTER BLVD. SOUTH, SUITE 101, OKATIE, SC 29909
(843) 836-3800
(843) 705-3828
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(843) 836-3800
(843) 705-3828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
06/01/2011
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