Organization
MPPG, INC.
Active
Other names
ACI Surgical Associates
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, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715
Mailing address
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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