Mppg, Inc.

NPI #1497822324 in Savannah, Georgia

Provider Information

NPI Number: 1497822324
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Surgery
Enumeration Date: Nov 29, 2006
Last Updated: Oct 4, 2011

Practice Location

Address: 4750 WATERS AVE
Address 2: SUITE 202
City: Savannah
State: Georgia
ZIP Code: 31404-6200
Phone: (912) 350-7412

Authorized Official

Name: ROBIN J. MADDOX
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Surgery	208600000X	Primary

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