NPI 1073153409 · live from the CMS NPI Registry
Aica Orthopedics, P. C.
Orthopaedic Surgery, Sports Medicine in Atlanta, GA. National Provider Identifier 1073153409, active.
NPI record
| NPI | 1073153409 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328 |
| Practice phone | 678-701-2225 |
| Mailing address | Po Box 674508, Marietta, GA 30006 |
| Enumerated | January 14, 2020 |
| Last updated | January 14, 2020 |
| Authorized official | Keri Laniado, Accountant |
| Other names | R01 Mount Vernon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.