Healthcare Provider Details

I. General information

NPI: 1407623150
Provider Name (Legal Business Name): AICA ORTHOPEDICS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 1ST ST
MACON GA
31201-2805
US

IV. Provider business mailing address

PO BOX 674508
MARIETTA GA
30006-0076
US

V. Phone/Fax

Practice location:
  • Phone: 678-701-2225
  • Fax: 678-701-2226
Mailing address:
  • Phone: 678-701-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS ACQUAH
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 678-701-2225