Organization
MPPG, INC.
Active
Other names
Savannah Center for Respiratory, Critical Care, and Sleep Medicine
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 507, SAVANNAH, GA 31404-6220
(912) 350-4750
(912) 350-4751
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-4750
(912) 350-4751
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/29/2006
Last updated
06/01/2011
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