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Organization
HEAG PAIN MANAGEMENT CENTER PA
Active
Organization
HEAG PAIN MANAGEMENT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL NORRIS GRANT (OFFICE MANAGER)
(336) 282-0132
Entity
Organization
Contact information
Practice address
203 POMONA DR, GREENSBORO, NC 27407-1619
(919) 220-0107
(919) 220-7623
Mailing address
203 POMONA DR, GREENSBORO, NC 27407-1619
(919) 220-0107
(919) 220-7623
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200500050
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
09/01/2006
Last updated
10/16/2025
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