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Organization

PHYSICIANS MEDICAL CENTER LLC

Active
Other names
PMC Urgent Care, PMC Surgical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS MICHAEL MEDLEY (CEO/ADMINISTRATOR)
(812) 206-7624
Entity
Organization

Contact information

Practice address
3605 NORTHGATE CT, SUITE 204, NEW ALBANY, IN 47150-6400
(812) 207-2130
(812) 207-2140
Mailing address
4023 REAS LN, NEW ALBANY, IN 47150-2228
(812) 206-7660
(812) 206-7650

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208600000X
Surgery Physician
Primary
208D00000X
General Practice Physician
261QU0200X
Urgent Care Clinic/Center
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200916560
IN
05
7100073940
KY
Enumeration date
10/09/2013
Last updated
02/21/2018
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