Provider Demographics
NPI:1376798132
Name:HCPG, INC.
Entity Type:Organization
Organization Name:HCPG, INC.
Other - Org Name:HEALTHCARE PRINCIPALS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-398-3841
Mailing Address - Street 1:4 AMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1068
Mailing Address - Country:US
Mailing Address - Phone:912-201-3217
Mailing Address - Fax:912-355-2079
Practice Address - Street 1:69 ROBERT SMALLS PKWY
Practice Address - Street 2:SUITE 2-C
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4267
Practice Address - Country:US
Practice Address - Phone:866-309-2312
Practice Address - Fax:404-601-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-R-0037305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization