Savannah Surgical Group
LBN: Mppg, Inc.
Savannah Surgical Group is an health care organization with primary practice located at 4750 Waters Ave Suite 202, Savannah GA 31404-6200. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Mppg, Inc. can be contacted via phone (912) 350-7412, or through Maddox, Robin J. via phone (912) 350-9335.
Contact Information
Primary practice address
4750 Waters Ave Suite 202
Savannah GA 31404-6200
Phone: (912) 350-7412
Fax: (912) 350-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ||
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1497822324 |
|---|---|
| LBN Legal business name | Mppg, Inc. |
| DBA Doing business as | Savannah Surgical Group |
| Authorized official | Maddox, Robin J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 4th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497822324 | NPPES |
| South Carolina | MEDICAID | GPA611 |
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