| NPI | 1386662013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. CARAWAY Managing Member 304-881-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WV 18714) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 163WX0800X Registered Nurse, Orthopedic | |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-12-03 |