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Organization

MPPG, INC.

Active
Other names
Bariatrics Center
Organization subpart
No

Provider details

NPI number
Authorized official
SEBRENA HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization

Contact information

Practice address
4700 WATERS AVE, 1ST FLOOR MUS BLDG, SAVANNAH, GA 31404-6220
(912) 350-3438
(912) 350-9037
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-3438
(912) 350-9037

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
03/15/2012
Last updated
10/14/2016
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