Mppg, Inc.

NPI #1992872832 in Savannah, Georgia

Provider Information

NPI Number: 1992872832
Entity Type: Organization
Organization Name: Mppg, Inc.
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Nov 29, 2006
Last Updated: Jun 1, 2011

Practice Location

Address: 4750 WATERS AVE
Address 2: SUITE 500
City: Savannah
State: Georgia
ZIP Code: 31404-6200
Phone: (912) 350-5961

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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