Backus Children'S Hospital Outpatient Center

LBN: Mppg, Inc.
Backus Children'S Hospital Outpatient Center is an health care organization with primary practice located at 1120 15Th St Attn: Pediatric Endo Clinic, Augusta GA 30912-0004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as the primary health care specialty. Mppg, Inc. can be contacted via phone (706) 721-2695, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
1120 15Th St Attn: Pediatric Endo Clinic Augusta GA 30912-0004
Phone: (706) 721-2695
Fax: (706) 721-0416
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Robin J.
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X

Profile Details

NPI number 1437341294
LBN Legal business name Mppg, Inc.
DBA Doing business as Backus Children'S Hospital Outpatient Center
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Jun 1st, 2011 - about 14 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 1437341294 NPPES
Georgia Other GRP3905 MEDICARE GROUP

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