MEDICARE: ATTENTUS TROY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	NOT REQUIRED IN AL

General Provider Information

NPI Number	:	1174541023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTUS TROY, LLC

Provider Business Mailing Address
First Line	:	1340 HIGHWAY 231 S
Second Line	:	SUITE 8
City	:	TROY
State	:	AL
Zip	:	36081-3011
Country	:	US
Telephone Number	:	334-670-6646
Fax Number	:	334-670-0076

Provider Business Practice Location Address
First Line	:	1340 HIGHWAY 231 S
Second Line	:	SUITE 8
City	:	TROY
State	:	AL
Zip	:	36081-3011
Country	:	US
Telephone Number	:	334-670-6646
Fax Number	:	334-670-0076

Authorized Official
Title or Position	:	PRESIDENT & CHIEF MANAGER
Name	:	RICHARD D GORE
Credential	:
Telephone Number	:	615-372-7000

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	08/22/2020

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Directions to “ATTENTUS TROY, LLC ” Practice Location

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