SUMTER PRIMARY CARE PC
Marriage and Family Therapists at Mayo St, Americus, GA

License number
Georgia 049421
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: AUDREY M HODGE MD
Title: PHYSICIAN
Phone: (229) 931-9202
Address
Address
202 Mayo St STE B, Americus, GA 31709
National Provider ID: 1689743866
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUMTER PRIMARY CARE, PC

201 Reese St STE A, Americus, GA

Status:
Inactive
Registration:
Oct 31, 2000
Inactive since:
Jul 9, 2005
State ID:
0048085
Business type:
Domestic Professional Corporation
CFO:
No Name (CFO), No Address, Americus, GA (Physical)
Agent:
Audrey Hodge, M.d,201 Reese St SUITE A, Americus, GA 31709 (Physical)

Marriage and Family Therapists licenses in Georgia