Organization
DEKALB PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DIDONATO CPC (CODING/BILLING SPECIALIST)
(678) 514-2643
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE 110, DECATUR, GA 30033-6131
(404) 501-5368
Mailing address
2171 W PARK CT, SUITE B, STONE MOUNTAIN, GA 30087-3555
(678) 514-1991
(678) 514-1993
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
GA
Other
Enumeration date
06/20/2006
Last updated
04/20/2008
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