# HEAG PAIN MANAGEMENT CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588937999
- **Authorized official:** MR. RANDALL NORRIS GRANT (OFFICE MANAGER)
- **Authorized official phone:** (336) 609-3801

## Contact information

- **Practice address:** 203 POMONA DR, GREENSBORO, NC 27407-1619
- **Practice address phone:** (336) 430-3727
- **Mailing address:** 203 POMONA DR, GREENSBORO, NC 27407-1619
- **Mailing address phone:** (919) 220-0107
- **Mailing address fax:** (336) 282-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 200500050 | NC | Yes |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 09/09/2025