# MPPG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Health Savannah Mall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467511949
- **Authorized official:** ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 14089 ABERCORN STREET, SAVANNAH, GA 31419
- **Practice address phone:** (912) 350-2138
- **Practice address fax:** (912) 350-2145
- **Mailing address:** PO BOX 102032, ATLANTA, GA 30368-2032
- **Mailing address phone:** (912) 350-2138
- **Mailing address fax:** (912) 350-2145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 06/01/2011