Provider Demographics
NPI:1245439835
Name:HOWARD B KRONE M.D.,PC
Entity type:Organization
Organization Name:HOWARD B KRONE M.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-886-5253
Mailing Address - Street 1:2665 N DECATUR RD
Mailing Address - Street 2:SUITE 345
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6149
Mailing Address - Country:US
Mailing Address - Phone:404-296-4025
Mailing Address - Fax:404-296-4028
Practice Address - Street 1:2665 N DECATUR RD
Practice Address - Street 2:SUITE 345
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6149
Practice Address - Country:US
Practice Address - Phone:404-296-4025
Practice Address - Fax:404-296-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14192174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA20NCCMVMedicare Oscar/Certification
GAD40385Medicare UPIN
GAGRP7749Medicare PIN