Organization
THE HAND AND UPPER EXTREMITY SURGERY CENTER OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VICE PRESIDENT, ADMIN SERVICES/CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
993-D JOHNSON FERRY ROAD, SUITE 200, ATLANTA, GA 30342
(404) 969-1996
(404) 969-1999
Mailing address
993-D JOHNSON FERRY ROAD, SUITE 200, ATLANTA, GA 30342
(404) 969-1996
(404) 969-1999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1667
KAISER
GA
Enumeration date
07/17/2006
Last updated
02/22/2023
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