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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Surgical Specialists of Savannah
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRENA HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, 1ST FLOOR MUS BLDG, SAVANNAH, GA 31404-6220
(912) 350-8712
(912) 350-8753
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-8712
(912) 350-8753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
10/14/2016
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