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Southeast Georgia Radiology
Diagnostic Radiology Physician in St Marys, Georgia
NPI 1962614024

Southeast Georgia Radiology is a Diagnostic Radiology Physician based in Brunswick, GA and is specialized in Diagnostic Radiology. Southeast Georgia Radiology practices in St Marys, GA. The NPI Number for Southeast Georgia Radiology is 1962614024 and holds a License No. 011416 (Georgia).

The current practice location address for Southeast Georgia Radiology is 2000 Dan Proctor Dr, St Marys, GA and can be reached out via phone at 912-466-6170.

Location: 2000 Dan Proctor Dr, St Marys, GA, 31520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962614024
Provider Name
Southeast Georgia Radiology
Credential
Provider Entity Type
Organization
Address
2000 Dan Proctor Dr, St Marys, GA, 31520
Phone Number
912-466-6170
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04155 01 GA BCBS GA
343124 05 GA
institution
Provider Business Practice Location Address Details
Address
2000 Dan Proctor Dr
City
St Marys
State
Georgia
Zip
31520
Phone Number
912-466-6170
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Dan Proctor Dr
City
St Marys
State
Georgia
Zip
31520
Phone Number
912-466-6170
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
011416 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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