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Organization
HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C.
Active
Organization
HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C.
Active
Other names
Atl Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MICHAEL DIDURO B.S., D.C. (PRESIDENT/ OWNER)
(404) 402-1903
Entity
Organization
Contact information
Practice address
4535 WINTERS CHAPEL RD, SUITE B, DORAVILLE, GA 30360-2705
(678) 957-0266
(678) 909-0659
Mailing address
766 FAIRFIELD DR, MARIETTA, GA 30068-4104
(404) 402-1903
(678) 909-0659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO 5305
GA
Other
Enumeration date
09/10/2008
Last updated
10/22/2014
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