NPI 1861965568
Gulf Coast Pain Consultants LLC
Practice location
- Address
- 135 Medical Park Dr STE 2b, Andalusia, AL 36420-5352
- Phone
- (850) 484-4080
- Fax
- (850) 484-8450
- Mailing address
- 201 Defense Hwy STE 205, Annapolis, MD 21401-7096
Authorised official
- Name
- Kacey a Montgomery
- Title
- Medical Director
- Phone
- (850) 791-6895
Registered specialties (2)
Durable Medical Equipment & Medical Supplies
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1861965568
- Entity type
- Organization
- NPI issued
- 4 Jan 2019
- Record last updated
- 19 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.