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Organization

SUMTER PRIMARY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY M HODGE MD (PHYSICIAN)
(229) 931-9202
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049421
GA

Other

Enumeration date
11/06/2006
Last updated
08/22/2020
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