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Organization

HEAG PAIN MANAGEMENT CENTER PA

Active
Parent organization
THE HEAG PAIN MANAGEMENT CENTER PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE HEAG PAIN MANAGEMENT CENTER PA
Authorized official
DR. KWADWO GYARTENG DAKWA MD (PHYSICAN)
(919) 220-0107
Entity
Organization

Contact information

Practice address
2609 N DUKE ST STE 303B, DURHAM, NC 27704
(919) 220-0107
Mailing address
2609 N DYKE ST, SUITE 402, DURHAM, NC 27704
(919) 220-0107

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
200500050
NC
208VP0000X
Pain Medicine Physician
200500050
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
200500050
NC
261QP3300X
Pain Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285678845
NPI
05
5700429
NC
Enumeration date
02/07/2008
Last updated
09/05/2023
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