# THE PEDIATRIC HAND & UPPER EXTREMITY CENTER OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE HAND & UPPER EXTREMITY CENTER OF GEORGIA, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700105996
- **Legal business name:** THE HAND & UPPER EXTREMITY CENTER OF GEORGIA, P.C.
- **Authorized official:** DR. BRONIER L COSTAS M.D. (SENIOR PARTNER/PRESIDENT)
- **Authorized official phone:** (404) 255-0226

## Contact information

- **Practice address:** 980 JOHNSON FERRY RD NE, SUITE 1020, ATLANTA, GA 30342-1626
- **Practice address phone:** (404) 255-0226
- **Mailing address:** 980 JOHNSON FERRY RD NE, SUITE 1020, ATLANTA, GA 30342-1626
- **Mailing address phone:** (404) 255-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | GA | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 05/27/2010