Organization
CARDIOLOGY CARE CLINIC, LLC
Active
Organization
CARDIOLOGY CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS A.F. CHRONOS MD (OWNER)
(706) 485-4004
Entity
Organization
Contact information
Practice address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
(706) 262-2986
Mailing address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
(706) 292-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126643A
—
GA
Enumeration date
06/08/2012
Last updated
07/27/2020
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