Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Georgia Radiology

Organization Diagnostic Radiology Physician · NPI 1962614024

Southeast Georgia Radiology is a Diagnostic Radiology Physician in St Marys, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

2000 Dan Proctor Dr
St Marys, GA 31520
Phone: (912) 466-6170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 011416 (GA)

Record details

NPI number1962614024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Manning — President · (912) 466-6170
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 20, 2008
Mailing address3020 Shrine Rd, Brunswick, GA 31520