Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Memorial Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SEBRENA C. HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
6602 WATERS AVE, BLDG A, SAVANNAH, GA 31406-2758
(912) 350-6000
(912) 350-6001
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
06/20/2016
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