# MPPG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Savannah Center for Respiratory, Critical Care, and Sleep Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376610386
- **Authorized official:** ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 4700 WATERS AVE, SUITE 507, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-4750
- **Practice address fax:** (912) 350-4751
- **Mailing address:** PO BOX 102032, ATLANTA, GA 30368-2032
- **Mailing address phone:** (912) 350-4750
- **Mailing address fax:** (912) 350-4751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 06/01/2011
