Provider Demographics
NPI:1801288154
Name:AOPI
Entity type:Organization
Organization Name:AOPI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:RICE
Authorized Official - Suffix:III
Authorized Official - Credentials:CPO
Authorized Official - Phone:706-733-8878
Mailing Address - Street 1:1000 HAWTHORNE AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2068 WRIGHTSBORO RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4781
Practice Address - Country:US
Practice Address - Phone:706-733-8878
Practice Address - Fax:706-733-4434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AOPI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACO002793332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1268170001Medicare PIN