| 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 |