Organization
AICA ORTHOPEDICS, P. C.
Active
Parent organization
AICA ORTHOPEDICS, P. C.
Other names
R01 MOUNT VERNON
Organization subpart
Yes
Provider details
NPI number
Legal business name
AICA ORTHOPEDICS, P. C.
Authorized official
KERI LANIADO (ACCOUNTANT)
(678) 701-2225
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY NE STE 305, ATLANTA, GA 30328-4290
(678) 701-2225
(678) 701-2226
Mailing address
PO BOX 674508, MARIETTA, GA 30006-0076
(678) 701-2225
(678) 701-2226
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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