# MPPG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Specialists of Savannah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851468862
- **Authorized official:** SEBRENA HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 4700 WATERS AVE, 1ST FLOOR MUS BLDG, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-8712
- **Practice address fax:** (912) 350-8753
- **Mailing address:** PO BOX 102032, ATLANTA, GA 30368-2032
- **Mailing address phone:** (912) 350-8712
- **Mailing address fax:** (912) 350-8753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 10/14/2016