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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
University Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-8427
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-8180
(912) 350-8427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
Other
Enumeration date
11/29/2006
Last updated
06/01/2011
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