A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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 |
| NPI # | 1396121240 |
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| LBN Legal business name | PMC MEDICAL GROUP, LLC | ||||
| Authorized official | MATTHEW HOGAN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 08/03/2015 | ||||
| Last updated | 03/19/2025 - More than a year ago | ||||
| Identifiers |
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PMC MEDICAL GROUP, LLC
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