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MPPG INC. NPI 1679640692


NPI Information

NPI: 1679640692
Provider Name: MPPG, INC.

Doing Business As: SAVANNAH PEDIATRIC SURGERY, INC.

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
4750 WATERS AVE
SUITE 307
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7914
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MPPG, INC. is a pediatric surgery surgery in Savannah, GA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. MPPG, INC. NPI is 1679640692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Savannah Pediatric Surgery, Inc..

The provider's business location address is:

4750 WATERS AVE
SUITE 307
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-7914
Fax: (912) 350-7973

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 6/1/2011.


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
12086S0120XSurgeryPediatric SurgeryYes

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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