Organization
HEAG PAIN MANAGEMENT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWADWO GYARTENG-DAKWA M.D. (PRESIDENT/OWNER)
(919) 220-0107
Entity
Organization
Contact information
Practice address
203 POMONA DR, GREENSBORO, NC 27407
(919) 220-0107
Mailing address
PO BOX 63082, CHARLOTTE, NC 28263-3082
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200500050
NC
Other
Enumeration date
06/17/2014
Last updated
09/05/2023
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