Organization
MPPG, INC.
Active
Other names
Savannah Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
7 MALLET WAY, BLUFFTON, SC 29910
(912) 350-3676
(912) 350-3932
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-3676
(912) 350-3932
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
06/01/2011
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