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Organization
MPPG, INC.
Active
Organization
MPPG, INC.
Active
Other names
Savannah Vascular Surgery, Inc.
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, SUITE 403, SAVANNAH, GA 31404-6220
(912) 350-5961
(912) 350-5942
Mailing address
PO BOX 931968, ATLANTA, GA 31193-1968
(912) 350-5961
(912) 350-5942
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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