Provider Demographics
NPI:1508646381
Name:AICA ORTHOPEDICS, P. C.
Entity Type:Organization
Organization Name:AICA ORTHOPEDICS, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE
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:
Practice Address - Street 1:16 LEE ST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2015
Practice Address - Country:US
Practice Address - Phone:678-701-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AICA ORTHOPEDICS, P. C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty