Provider Demographics
NPI:1144655002
Name:AMENDIA INC
Entity type:Organization
Organization Name:AMENDIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, MARKET ACCESS
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:770-575-5200
Mailing Address - Street 1:1755 W OAK PKWY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2260
Mailing Address - Country:US
Mailing Address - Phone:770-575-5200
Mailing Address - Fax:
Practice Address - Street 1:1755 W OAK PKWY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2260
Practice Address - Country:US
Practice Address - Phone:770-575-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment