Organization
MPPG, INC.
Active
Other names
Savannah Reproductive Specialist
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) 350-0307
(912) 350-0308
Mailing address
PO BOX 931968, ATLANTA, GA 31193-1968
(912) 350-0307
(912) 350-0308
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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