Organization
HEAG PAIN MANAGEMENT CENTER PA
Active
Organization
HEAG PAIN MANAGEMENT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWADWO GYARTENG-DAKWA (MANAGER)
(919) 220-0107
Entity
Organization
Contact information
Practice address
1305 W WENDOVER AVE STE A, GREENSBORO, NC 27408-8100
(336) 282-0132
(336) 282-6962
Mailing address
1305 W WENDOVER AVE STE A, GREENSBORO, NC 27408-8100
(336) 282-0132
(336) 282-6962
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
130447
NC
305S00000X
Point of Service
Primary
130447
NC
Other
Enumeration date
04/27/2009
Last updated
07/31/2026
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