NPI | 1932501277 |
---|---|
Doing Business As | ATL PAIN INSTITUTE |
Entity Type | Organization |
Authorized Contact | MATTHEW MICHAEL DIDURO Manager 678-580-1862 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 57064) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |