OrganizationActive
Mppg, Inc.
NPI 1639420151 · Gynecologic Oncology Physician · Okatie, SC
Provider details
- NPI number
- 1639420151
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator(912) 350-9335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
14 Okatie Center Blvd S
Suite 101
Okatie, SC 29909-7506
Phone: (912) 350-2299
Fax: (912) 350-2298
Approximate (ZIP-level) locationGet directions
Mailing address
14 Okatie Center Blvd S
Okatie, SC 29909-7506
Other names (DBA / former)
- Doing business as
- Aci Surgical Associates
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2012-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.