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1427057165

NPI Code Detail

MEDICARE: NICOLAS A.F. CHRONOS MD

MEDICARE: NICOLAS A.F. CHRONOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	045054	GA
2	207RI0011X	Interventional Cardiology Physician	045054	GA
3	207RC0000X	Cardiovascular Disease Physician	045054	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427057165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS A.F. CHRONOS MD

Provider Business Mailing Address
First Line	:	119 HARMONY XING STE 3
Second Line	:
City	:	EATONTON
State	:	GA
Zip	:	31024-9571
Country	:	US
Telephone Number	:	706-485-4004
Fax Number	:	706-262-2986

Provider Business Practice Location Address
First Line	:	119 HARMONY XING STE 3
Second Line	:
City	:	EATONTON
State	:	GA
Zip	:	31024-9571
Country	:	US
Telephone Number	:	706-485-4004
Fax Number	:	706-262-2986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	08/14/2020

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Directions to “ NICOLAS A.F. CHRONOS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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