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Contact Information

ATLANTIC PAIN CENTER
4535 WINTERS CHAPEL RD
SUITE B
DORAVILLE, GA30360-2705
 Phone: 678-580-1862
 Fax: 678-580-1648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ATLANTIC PAIN CENTER

NPI Number 1932501277
LBN Legal business name ATLANTIC PAIN CENTER
Authorized official MATTHEW DIDURO - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2014
Last updated 09/18/2014 - About 12 years ago
Identifiers
GA License # 57064
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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