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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