Organization
MPPG, INC.
Active
Other names
Internal Medicine Department, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN J MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8222
(912) 350-8686
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-8222
(912) 350-8686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
05/31/2011
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