Organization
MPPG, INC.
Active
Other names
Savannah Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
14 OKATIE CENTER BLVD S, SUITE 101, OKATIE, SC 29909-7506
(912) 350-7412
(912) 350-7297
Mailing address
14 OKATIE CENTER BLVD S, SUITE 101, OKATIE, SC 29909-7506
(912) 350-7412
(912) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
12/06/2006
Last updated
10/04/2011
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