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Individual

DR. BRONIER L COSTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
980 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1626
(404) 255-0226
(404) 256-8970
Mailing address
980 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1626
(404) 255-0226
(404) 256-8970

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027363
GA

Other

Enumeration date
05/05/2006
Last updated
09/24/2010
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