Organization
MPPG, INC.
Active
Other names
Memorial-SCAD Center for Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
300 BULL ST, SUITE 102, SAVANNAH, GA 31401-4347
(912) 231-9956
(912) 232-1148
Mailing address
300 BULL ST, SUITE 102, SAVANNAH, GA 31401-4347
(912) 231-9956
(912) 232-1148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2006
Last updated
11/21/2014
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