Provider Demographics
NPI:1598860892
Name:KRON, ERIC JOHN (DPM, FACFAS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOHN
Last Name:KRON
Suffix:
Gender:M
Credentials:DPM, FACFAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PROMINENCE COURT
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-8936
Mailing Address - Country:US
Mailing Address - Phone:706-265-6600
Mailing Address - Fax:706-265-6604
Practice Address - Street 1:81 NORTHSIDE DAWSON DR STE 204
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-7164
Practice Address - Country:US
Practice Address - Phone:706-265-6600
Practice Address - Fax:706-265-6604
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD000989213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA411385986BMedicaid
GA411385986AMedicaid
GA411385986DMedicaid
GAU76483Medicare UPIN
GA411385986AMedicaid
GA1598860892Medicare PIN