Individual
DR. MATTHEW MICHAEL DIDURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
1905
SC
111N00000X
Chiropractor
2134
NC
111N00000X
Chiropractor
Primary
CHIR005305
GA
111N00000X
Chiropractor
X007847
NY
Other
Enumeration date
01/26/2006
Last updated
10/29/2014
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