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MPPG INC. NPI 1497822324


NPI Information

NPI: 1497822324
Provider Name: MPPG, INC.

Doing Business As: SAVANNAH SURGICAL GROUP

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
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MPPG, INC. is a surgery in Savannah, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MPPG, INC. NPI is 1497822324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Savannah Surgical Group.

The provider's business location address is:

4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-7412
Fax: (912) 350-7297

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
52086S0102XSurgerySurgical Critical CareNo
62086S0127XSurgeryTrauma SurgeryNo
7208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3905MEDICARE PINGEORGIA
23726260006MEDICARE NSC
3GPA611MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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