Organization
THE CENTER FOR PAIN RELIEF TRI STATE PLLC
Active
Organization
THE CENTER FOR PAIN RELIEF TRI STATE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. CARAWAY M.D. (MANAGING MEMBER)
(304) 881-2102
Entity
Organization
Contact information
Practice address
100 PEYTON WAY STE 200, CPRTS ADMINISTRATIVE OFFICE, CHARLESTON, WV 25309-8545
(904) 436-0153
(904) 494-6467
Mailing address
100 PEYTON WAY STE 200, THE CENTER FOR PAIN RELIEF TRI STATE PLLC, CHARLESTON, WV 25309-8545
(904) 436-0153
(904) 494-6467
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
163WX0800X
Orthopedic Registered Nurse
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
18714
WV
208VP0014X
Interventional Pain Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/18/2006
Last updated
12/03/2014
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