Provident Ob/Gyn Associates

LBN: Mppg, Inc.
Provident Ob/Gyn Associates is an health care organization with primary practice located at 3780 Us Highway 17 , Richmond Hill GA 31324-3378. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mppg, Inc. can be contacted via phone (912) 756-2292, or through Holmes Gibson, Sebrena via phone (912) 350-9335.

Contact Information

Primary practice address
3780 Us Highway 17 Richmond Hill GA 31324-3378
Phone: (912) 756-2292
Fax: (912) 756-2289
Website:
Map and Directions
Authorized official contact:
Name: Holmes Gibson, Sebrena
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1245544519
LBN Legal business name Mppg, Inc.
DBA Doing business as Provident Ob/Gyn Associates
Authorized official Holmes Gibson, Sebrena
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2010
Last updated Jun 20th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245544519 NPPES
South Carolina MEDICAID GPB007

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