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
2245 STANTONSBURG RD STE H, GREENVILLE, NC 27834
(252) 364-2830
Mailing address
PO BOX 63082, CHARLOTTE, NC 28263-3082
(919) 220-0107
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200500050
NC
Other
Enumeration date
02/16/2012
Last updated
07/17/2023
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