OrganizationActive
Mppg, Inc.
NPI 1356418578 · Pediatric Hematology & Oncology Physician · Statesboro, GA
Provider details
- NPI number
- 1356418578
- Entity type
- Organization
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator(912) 350-9335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1497 Fair Rd
Suite 200
Statesboro, GA 30458-0822
Phone: (912) 871-4847
Fax: (912) 871-5562
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 102032
Atlanta, GA 30368-2032
Other names (DBA / former)
- Doing business as
- University Pediatrics
Registry dates
- Enumerated
- 2006-11-30
- 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.