Organization
GULF COAST PAIN CONSULTANTS LLC
Active
Parent organization
GULF COAST PAIN CONSULTANTS LLC
Other names
Clearway Pain Solutions Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST PAIN CONSULTANTS LLC
Authorized official
KACEY A MONTGOMERY MD (MEDICAL DIRECTOR)
(850) 791-6895
Entity
Organization
Contact information
Practice address
135 MEDICAL PARK DR STE 2B, ANDALUSIA, AL 36420-5352
(850) 484-4080
(850) 484-8450
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(833) 810-1165
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
04/19/2023
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