Provider Demographics
NPI:1467035170
Name:AICA ORTHOPEDICS, P. C.
Entity Type:Organization
Organization Name:AICA ORTHOPEDICS, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-701-2225
Mailing Address - Street 1:PO BOX 674508
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006-0076
Mailing Address - Country:US
Mailing Address - Phone:678-701-2225
Mailing Address - Fax:678-701-2226
Practice Address - Street 1:260 CORPORATE CENTER DR STE A
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7215
Practice Address - Country:US
Practice Address - Phone:678-701-2225
Practice Address - Fax:678-701-2226
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AICA ORTHOPEDICS, P. C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-30
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center