Organization
ATTAIN MED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO J RODRIGUEZ M.B.A. (CHIEF EXECUTIVE OFFICER)
(404) 432-9885
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR NE, BUILDING 4, SUITE 106, ATLANTA, GA 30328-5387
(770) 288-2466
(888) 288-2181
Mailing address
5825 GLENRIDGE DR NE, BUILDING 4, SUITE 106, ATLANTA, GA 30328-5387
(770) 288-2466
(888) 288-2181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519158
—
TN
05
—
502235656A
—
GA
05
—
502235656B
—
GA
01
—
52227848001
BLUE CROSS BLUE SHIELD OF GEORGIA
GA
Enumeration date
12/17/2008
Last updated
12/28/2010
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