Organization
MPPG, INC.
Active
Other names
Surgical Specialist of Savannah
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
455 S MAIN ST, SUITE 203, HINESVILLE, GA 31313-4353
(912) 350-8712
(912) 350-8753
Mailing address
PO BOX 102032, ATLANTA, GA 30368-2032
(912) 350-8712
(912) 350-8753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/15/2012
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