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1780935395
KENNETH J HEADEN MD PA
GREENSBORO, NC
NPI
1780935395
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Entity Type
Organization
Authorized Contact
KENNETH JAY HEADEN
Md/CEO
336-279-1227
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC 9400266)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
KENNETH J HEADEN MD PA
806 SUMMIT AVE 210A
GREENSBORO, NC 27405-7861
Phone number: 336-279-1227
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Mailing Address
KENNETH J HEADEN MD PA
806 SUMMIT AVE STE 210A
GREENSBORO, NC 27405-7861
Phone number: 336-279-1227
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