# SUMTER PRIMARY CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689743866
- **Authorized official:** AUDREY M HODGE MD (PHYSICIAN)
- **Authorized official phone:** (229) 931-9202

## Contact information

- **Practice address:** 202 MAYO STREET, STE B, AMERICUS, GA 31709
- **Practice address phone:** (229) 931-9202
- **Practice address fax:** (229) 931-9206
- **Mailing address:** PO BOX 408, AMERICUS, GA 31709
- **Mailing address phone:** (229) 931-9202
- **Mailing address fax:** (229) 931-9206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 049421 | GA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020