Organization
MPPG, INC.
Active
Other names
Georgia Ear Institute, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
2429 HWY 17 SOUTH, RICHMOND HILL, GA 31324
(912) 350-5000
(912) 350-5123
Mailing address
PO BOX 931968, ATLANTA, GA 31193-1968
(912) 350-5000
(912) 350-5123
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
09/11/2025
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