Healthcare Provider Details

I. General information

NPI: 1750527909
Provider Name (Legal Business Name): ATTAIN MED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 GLENRIDGE DR NE BUILDING 4, SUITE 106
ATLANTA GA
30328-5387
US

IV. Provider business mailing address

5825 GLENRIDGE DR NE BUILDING 4, SUITE 106
ATLANTA GA
30328-5387
US

V. Phone/Fax

Practice location:
  • Phone: 770-288-2466
  • Fax: 888-288-2181
Mailing address:
  • Phone: 770-288-2466
  • Fax: 888-288-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: LEONARDO J RODRIGUEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.B.A.
Phone: 404-432-9885