NPI 1770644841

Mppg, INC.

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Savannah, GA

Practice location

Address: 4750 Waters Ave Suite 452, Savannah, GA 31404-6200
Phone: (912) 354-7188
Fax: (912) 354-5208
Mailing address: PO Box 102032, Atlanta, GA 30368-2032

Authorised official

Name: Robin J. Maddox
Title: Provider Enrollment Coordinator
Phone: (912) 350-9335

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Georgia →

Registry record

NPI: 1770644841
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 31 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.