# MPPG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Savannah Vascular Surgery, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932253762
- **Authorized official:** ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 4700 WATERS AVE, SUITE 403, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-5961
- **Practice address fax:** (912) 350-5942
- **Mailing address:** PO BOX 931968, ATLANTA, GA 31193-1968
- **Mailing address phone:** (912) 350-5961
- **Mailing address fax:** (912) 350-5942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 09/11/2025