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Organization
ATL PAIN MANAGEMENT CONSULTING GROUP LLC
Active
Organization
ATL PAIN MANAGEMENT CONSULTING GROUP LLC
Active
Other names
ATL Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DIDURO (OWNER)
(678) 580-1862
Entity
Organization
Contact information
Practice address
4535 WINTERS CHAPEL RD, SUITE B, ATLANTA, GA 30360-2705
(678) 580-1862
Mailing address
4535 WINTERS CHAPEL RD, SUITE B, ATLANTA, GA 30360-2705
(678) 580-1862
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
12/18/2012
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