Provider Demographics
NPI:1639994114
Name:AICA ORTHOPEDICS P.C.
Entity type:Organization
Organization Name:AICA ORTHOPEDICS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COLLECTIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-701-2225
Mailing Address - Street 1:2253 NORTHWEST PKWY SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8764
Mailing Address - Country:US
Mailing Address - Phone:678-701-2225
Mailing Address - Fax:
Practice Address - Street 1:1014 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1644
Practice Address - Country:US
Practice Address - Phone:678-701-2225
Practice Address - Fax:678-206-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty