A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1467511949 |
| LBN Legal business name | MPPG, INC. |
| Authorized official | ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/08/2006 |
| Last updated | 06/01/2011 - About 15 years ago |
| Identifiers | n/a |
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MPPG, INC.
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