NPI:
1174691067
Provider Name:
MPPG, INC.
Doing Business As: SAVANNAH VASCULAR SURGERY, INC.
Classification:
Surgery - 2086S0129X
Entity Type:
Organization
Specialization: Vascular Surgery
Address:
200 MAPLE DRIVE
VIDALIA, GA
ZIP 30474
Phone:
(912) 350-5961
Get Directions
MPPG, INC. is a vascular surgery surgery in Vidalia, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MPPG, INC. NPI is 1174691067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Savannah Vascular Surgery, Inc..
The provider's business location address is:
200 MAPLE DRIVE
VIDALIA, GA
ZIP 30474
Phone: (912) 350-5961
Fax: (912) 350-5942
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 12/1/2006 and was last updated on 6/1/2011.