# PMC PHYSICIAN NETWORK, L.L.C.

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

## Provider details

- **NPI number:** 1306099312
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 1795 DEVINNEY RD, YORK, SC 29745
- **Practice address phone:** (803) 818-5995
- **Practice address fax:** (803) 818-5985
- **Mailing address:** PO BOX 742869, ATLANTA, GA 30374-2869
- **Mailing address phone:** (803) 818-5995
- **Mailing address fax:** (803) 818-5985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 06/23/2016
