Provider Demographics
NPI:1023371697
Name:CHRONOS, HEATHER EWING (PA)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:EWING
Last Name:CHRONOS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:117 HARMONY CROSSING
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-9580
Mailing Address - Country:US
Mailing Address - Phone:706-485-4004
Mailing Address - Fax:706-262-2986
Practice Address - Street 1:117 HARMONY CROSSING
Practice Address - Street 2:SUITE 1
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-9580
Practice Address - Country:US
Practice Address - Phone:706-485-4004
Practice Address - Fax:706-262-2986
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2015-02-18
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Provider Licenses
StateLicense IDTaxonomies
GA1025769363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I971541Medicare PIN