Organization
PMC PHYSICIAN NETWORK, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1795 DEVINNEY RD, YORK, SC 29745
(803) 818-5995
(803) 818-5985
Mailing address
PO BOX 742869, ATLANTA, GA 30374-2869
(803) 818-5995
(803) 818-5985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5088
—
SC
Enumeration date
11/04/2008
Last updated
06/23/2016
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