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Contact Information

MPPG, INC.
512B SOUTH MAIN STREET
HINESVILLE, GA31313
 Phone: 912-369-5437
 Fax: 912-369-5740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MPPG, INC.

NPI # 1710041587
LBN Legal business name MPPG, INC.
Authorized official ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 06/01/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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