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Organization

SUMTER REGIONAL MEDICAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYRA GRIMSLEY (CBO DIRECTOR)
(229) 928-4144
Entity
Organization

Contact information

Practice address
120 HIGHWAY 19 NORTH, AMERICUS, GA 31709
(229) 928-4144
(229) 928-3410
Mailing address
120 HIGHWAY 19 NORTH, AMERICUS, GA 31709
(229) 928-4144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/15/2006
Last updated
08/22/2020
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