Provider Demographics
NPI:1750527909
Name:ATTAIN MED, INC.
Entity type:Organization
Organization Name:ATTAIN MED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:404-432-9885
Mailing Address - Street 1:5825 GLENRIDGE DR NE
Mailing Address - Street 2:BUILDING 4, SUITE 106
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5387
Mailing Address - Country:US
Mailing Address - Phone:770-288-2466
Mailing Address - Fax:888-288-2181
Practice Address - Street 1:5825 GLENRIDGE DR NE
Practice Address - Street 2:BUILDING 4, SUITE 106
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5387
Practice Address - Country:US
Practice Address - Phone:770-288-2466
Practice Address - Fax:888-288-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1519158Medicaid
GA502235656AMedicaid
GA502235656BMedicaid
GA52227848001OtherBLUE CROSS BLUE SHIELD OF GEORGIA
GA502235656BMedicaid