OrganizationActive
Mppg, Inc.
NPI 1164583357 · Vascular Surgery Physician · Bluffton, SC
Provider details
- NPI number
- 1164583357
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator
Practice location
7 Mallet Way
Bluffton, SC 29910
Phone: (912) 350-5961
Fax: (912) 350-5942
Mailing address
Po Box 102032
Atlanta, GA 30368-2032
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2011-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.