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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Memorial Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Mailing address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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