National Provider Identifier Database

CARDIOLOGY CARE CLINIC LLC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

CARDIOLOGY CARE CLINIC, LLC
119 HARMONY XING STE 3
EATONTON, GA31024-9571
Phone: 706-485-4004
Fax: 706-262-2986
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Clinical 1041C0700X
Rehabilitation: Cardiac Facilities 261QR0404X

* Indicates primary specialty

NPI Profile & details for CARDIOLOGY CARE CLINIC, LLC

NPI Number 1962764639
Legal business name
LBN
CARDIOLOGY CARE CLINIC, LLC
Authorized official NICOLAS CHRONOS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/08/2012
Last updated 07/27/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003126643A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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