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Organization
ATLANTIC PAIN CENTER
Active
Organization
ATLANTIC PAIN CENTER
Active
Other names
Atl Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MICHAEL DIDURO DC (MANAGER)
(678) 580-1862
Entity
Organization
Contact information
Practice address
4535 WINTERS CHAPEL RD, SUITE B, DORAVILLE, GA 30360-2705
(678) 580-1862
(678) 580-1648
Mailing address
PO BOX 680576, MARIETTA, GA 30068-0010
(678) 580-1862
(678) 580-1648
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
57064
GA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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