# PMC PHYSICIAN NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lewisville Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235523945
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 3248 EDGELAND HWY, RICHBURG, SC 29729-9478
- **Practice address phone:** (803) 789-6111
- **Practice address fax:** (803) 789-6118
- **Mailing address:** PO BOX 743361, ATLANTA, GA 30374-3361
- **Mailing address phone:** (803) 789-6111
- **Mailing address fax:** (803) 789-6118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 06/23/2016