Provider Demographics
NPI:1700298312
Name:AICA ORTHOPEDICS, P.C.
Entity Type:Organization
Organization Name:AICA ORTHOPEDICS, P.C.
Other - Org Name:AOS1 CONYERS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:ACQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-968-5611
Mailing Address - Street 1:PO BOX 500067
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350
Mailing Address - Country:US
Mailing Address - Phone:678-701-2225
Mailing Address - Fax:678-701-2226
Practice Address - Street 1:2375 WALL ST SE
Practice Address - Street 2:UNIT 135
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-6702
Practice Address - Country:US
Practice Address - Phone:678-210-2225
Practice Address - Fax:678-210-2226
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AICA ORTHOPEDICS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty