MEMORIAL HEALTH SAVANNAH MALL – NPI #1467511949
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEMORIAL HEALTH SAVANNAH MALL is a provider located in SAVANNAH, GA. NPPES has assigned the NPI number 1467511949 to MEMORIAL HEALTH SAVANNAH MALL on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL HEALTH SAVANNAH MALL” is a dba name, the actual legal business name for this organization is MPPG, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Jun 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL HEALTH SAVANNAH MALL below.

NPI Profile for
MPPG, INC.

NPI Number
1467511949
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MPPG, INC.
Doing Business As (dba): MEMORIAL HEALTH SAVANNAH MALL
Primary location
14089 ABERCORN STREET
SAVANNAH, GA 31419
Phone: (912) 350-2138 Fax: (912) 350-2145
Mailing address
PO BOX 102032
ATLANTA, GA 30368-2032
Phone: (912) 350-2138 Fax: (912) 350-2145
Organization Subpart
No
Authorized Official
ROBIN MADDOX
PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.