# MPPG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rehabilitation Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073680070
- **Authorized official:** ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 4750 WATERS AVE, SUITE 108, SAVANNAH, GA 31404-6200
- **Practice address phone:** (912) 350-5940
- **Practice address fax:** (912) 350-5991
- **Mailing address:** 4750 WATERS AVE, SUITE 108, SAVANNAH, GA 31404-6200
- **Mailing address phone:** (912) 350-5940
- **Mailing address fax:** (912) 350-5991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 05/01/2012