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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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