NPI | 1891354007 |
---|---|
Doing Business As | CLEARWAY PAIN SOLUTIONS INSTITUTE |
Entity Type | Organization |
Authorized Contact | KACEY A MONTGOMERY Medical Director 850-791-6895 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-06-11 |
Last Update Date | 2023-01-31 |