Healthcare Provider Details
I. General information
NPI: 1083184626
Provider Name (Legal Business Name): AICA ORTHOPEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/27/2018
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3775 VENTURE DRIVE BLDG F
DULUTH GA
30096
US
IV. Provider business mailing address
PO BOX 674508
MARIETTA GA
30006
US
V. Phone/Fax
- Phone: 678-701-2225
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCIS
K
ACQUAH
Title or Position: OWNER
Credential: MD
Phone: 678-701-2225