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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Endocrinology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4750 WATERS AVE, SUITE 452, SAVANNAH, GA 31404-6200
(912) 350-5908
(912) 350-5914
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-5908
(912) 350-5914
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
05/31/2011
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