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
—
—
Other
Enumeration date
09/01/2006
Last updated
10/16/2025
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