Organization
MPPG, INC.
Active
Other names
Savannah Vascular 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
4700 WATERS AVE, SUITE 403, SAVANNAH, GA 31404-6220
(912) 350-5961
(912) 350-5942
Mailing address
PO BOX 931968, ATLANTA, GA 31193-1968
(912) 350-5961
(912) 350-5942
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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