| NPI | 1083455299 |
|---|---|
| Doing Business As | CLEARWAY PAIN SOLUTIONS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | KACEY A MONTGOMERY Regional Medical Director 850-791-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |