# HEAG PAIN MANAGEMENT CENTER PA

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

## Provider details

- **NPI number:** 1952674277
- **Authorized official:** MR. RANDALL NORRIS GRANT (OFFICE MANAGER)
- **Authorized official phone:** (336) 282-0132

## Contact information

- **Practice address:** 2245 STANTONSBURG RD STE H, GREENVILLE, NC 27834
- **Practice address phone:** (252) 364-2830
- **Mailing address:** PO BOX 63082, CHARLOTTE, NC 28263-3082
- **Mailing address phone:** (919) 220-0107

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 07/17/2023