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Contact Information

PMC MEDICAL GROUP, LLC
100 GRIFFIN RD UNIT B
PORTSMOUTH, NH03801-7158
 Phone: 603-692-3199
 Fax: 833-944-2258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PMC MEDICAL GROUP LLC · (Female)

NPI Number 1396121240
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2015
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NH Medicaid 3103270
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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