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NPI Code Detail

MEDICARE: AES INTERNATIONAL

MEDICARE: AES INTERNATIONAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1427656156
Entity Type Code : Organization
Provider Name (Legal Business Name) : AES INTERNATIONAL
Provider Business Mailing Address
First Line : 6380 BELLS FERRY RD STE 101
Second Line :
City : ACWORTH
State : GA
Zip : 30102-5435
Country : US
Telephone Number : 404-573-8993
Fax Number :
Provider Business Practice Location Address
First Line : 6380 BELLS FERRY RD STE 101
Second Line :
City : ACWORTH
State : GA
Zip : 30102-5435
Country : US
Telephone Number : 404-573-8993
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : CHRISTINA ABERNATHY
Credential :
Telephone Number : 404-989-7384
Provider Enumeration Date : 10/14/2020
Last Update Date : 07/28/2021

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Directions to “AES INTERNATIONAL ” Practice Location

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