OrganizationActive
Mppg, Inc.
NPI 1679640692 · Pediatric Surgery Physician · Savannah, GA
Provider details
- NPI number
- 1679640692
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator
Practice location
4750 Waters Ave
Suite 307
Savannah, GA 31404-6200
Phone: (912) 350-7914
Fax: (912) 350-7973
Mailing address
Po Box 102032
Atlanta, GA 30368-2032
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2011-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.