# ATL PAIN MANAGEMENT CONSULTING GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATL Pain Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447539697
- **Authorized official:** MATTHEW DIDURO (OWNER)
- **Authorized official phone:** (678) 580-1862

## Contact information

- **Practice address:** 4535 WINTERS CHAPEL RD, SUITE B, ATLANTA, GA 30360-2705
- **Practice address phone:** (678) 580-1862
- **Mailing address:** 4535 WINTERS CHAPEL RD, SUITE B, ATLANTA, GA 30360-2705
- **Mailing address phone:** (678) 580-1862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 12/18/2012