Organization
MPPG, INC.
Active
Other names
Savannah Pediatric Surgery, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4750 WATERS AVE, SUITE 307, SAVANNAH, GA 31404-6200
(912) 350-7914
(912) 350-7973
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-7914
(912) 350-7973
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
06/01/2011
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