Healthcare Provider Details

I. General information

NPI: 1912976846
Provider Name (Legal Business Name): SANDRA L MAGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W CHERRY ST
JESUP GA
31545-1309
US

IV. Provider business mailing address

PO BOX 1213
BRUNSWICK GA
31521-1213
US

V. Phone/Fax

Practice location:
  • Phone: 912-588-1020
  • Fax: 912-588-1002
Mailing address:
  • Phone: 912-466-5000
  • Fax: 912-466-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number038043
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: