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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